Outlet connection assembly and method of making the same

ABSTRACT

A connection assembly for a respiratory therapy system, comprising: an outlet assembly, said outlet assembly including an outlet housing and a swivelling disc located on said outlet housing, said outlet housing and said swivelling disc defining, at least in part, a recess; an outlet connector located at an end of a tube portion, said outlet connector including an electrical connector; and a cable having a first end to connect to the electrical connector and a second end to connect to at least one electrical component of the respiratory therapy system, said cable having a slack portion, wherein said outlet connector and said swivelling disc are rotatable in unison between a first position and a second position, and wherein the slack portion of the cable extends from the recess and wraps around the swivelling disc as the swivelling disc is rotated from the first position to the second position.

2 CROSS-REFERENCE TO RELATED APPLICATIONS

This application is the U.S. national phase of International ApplicationNo. PCT/AU2014/050089 filed 24 Jun. 2014, which designated the U.S. andclaims the benefit of US Provisional Application Nos. 61/838,971, filedJun. 25, 2013, and 61/987,245, filed May 1, 2014, each of which isincorporated herein by reference in its entirety.

3 (B) BACKGROUND OF THE TECHNOLOGY

3.1 (1) Field of the Technology

The present technology relates to one or more of the diagnosis,treatment and amelioration of respiratory disorders, and to proceduresto prevent respiratory disorders. In particular, the present technologyrelates to medical devices, and their use for treating respiratorydisorders and for preventing respirator disorders.

3.2 (2) Description of the Related Art

The respiratory system of the body facilitates gas exchange. The noseand mouth form the entrance to the airways of a patient.

The airways include a series of branching lubes, which become narrower,shorter and more numerous as they penetrate deeper into the lung. Theprime function of the lung is gas exchange, allowing oxygen to move fromthe air into the venous blood and carbon dioxide to move out. Thetrachea divides into right and left main bronchi, which further divideeventually into terminal bronchioles. The bronchi make up the conductingairways, and do not take part in gas exchange. Further divisions of theairways lead to the respiratory bronchioles, and eventually to thealveoli. The alveolated region of the lung is where the gas exchangetakes place, and is referred to as the respiratory zone. See West,Respiratory Physiology—the essentials.

A range of respiratory disorders exist.

Obstructive Sleep Apnea (OSA), a form of Sleep Disordered Breathing(SDB), is characterized by occlusion or obstruction of the upper airpassage during sleep. It results from a combination of an abnormallysmall upper airway and the normal loss of muscle tone in the region ofthe tongue, soft palate and posterior oropharyngeal wall during sleep.The condition causes the affected patient to slop breathing for periodstypically of 30 to 120 seconds duration, sometimes 200 to 300 times pernight. It often causes excessive daytime somnolence, and it may causecardiovascular disease and brain damage. The syndrome is a commondisorder, particularly in middle aged overweight males, although aperson a fleeted may have no awareness of the problem. See U.S. Pat. No.4,944,310 (Sullivan).

Cheyne-Stokes Respiration (CSR) is a disorder of a patient's respiratorycontroller in which there are rhythmic alternating periods of waxing andwaning ventilation, causing repetitive de-oxygenation and re-oxygenationof the arterial blood. It is possible that CSR is harmful because of therepetitive hypoxia. In some patients CSR is associated with repetitivearousal from sleep, which causes severe sleep disruption, increasedsympathetic activity, and increased afterload. Sec U.S. Pat. No.6,532,959 (Berthon-Jones).

Obesity Hyperventilation Syndrome (OHS) is defined as the combination ofsevere obesity and awake chronic hypercapnia, in the absence of otherknown causes for hypoventilation. Symptoms include dyspnea, morningheadache and excessive daytime sleepiness.

Chronic Obstructive Pulmonary Disease (COPD) encompasses any of a groupof lower airway diseases that have certain characteristics in common.These include increased resistance to air movement, extended expiratoryphase of respiration, and loss of the normal elasticity of the lung.Examples of COPD are emphysema and chronic bronchitis. COPD is caused bychronic tobacco smoking (primary risk factor), occupational exposures,air pollution and genetic factors. Symptoms include: dyspnea onexertion, chronic cough and sputum production.

Neuromuscular Disease (NMD) is a broad term that encompasses manydiseases and ailments that impair the functioning of the muscles eitherdirectly via intrinsic muscle pathology, or indirectly via nervepathology. Some NMD patients are characterised by progressive muscularimpairment leading to loss of ambulation, being wheelchair-bound,swallowing difficulties, respiratory muscle weakness and, eventually,death from respiratory failure. Neuromuscular disorder can be dividedinto rapidly progressive and slowly progressive: (i) Rapidly progressivedisorders: Characterised by muscle impairment that worsens over monthsand results in death within a few years (e.g. Amyotrophic lateralsclerosis (ALS) and Duchenne muscular dystrophy (DMD) in teenagers);(ii) Variable or slowly progressive disorders; Characterised by muscleimpairment that worsens over years and only mildly reduces lifeexpectancy (e.g. Limb girdle. Facioscapulohumeral and Myotonic musculardystrophy). Symptoms of respiratory failure in NMD include: increasinggeneralised weakness, dysphagia, dyspnea on exertion and at test,fatigue, sleepiness, morning headache, and difficulties withconcentration and mood changes.

Chest wall disorders are a group of thoracic deformities that result ininefficient coupling between the respiratory muscles and the thoraciccage. The disorders are usually characterised by a restrictive defectand share the potential of long term hypercapnic respiratory failure.Scoliosis and/or kyphoscoliosis may cause severe respiratory failure.Symptoms of respiratory failure include: dyspnea on exertion, peripheraloedema, orthopnea, repeated chest infections, morning headaches,fatigue, poor sleep quality and loss of appetite.

Otherwise healthy individuals may take advantage of systems and devicesto prevent respiratory disorders from arising.

3.2.1 Therapy

Nasal Continuous Positive Airway Pressure (CPAP) therapy has been usedto treat Obstructive Sleep Apnea (OSA). The hypothesis is thatcontinuous positive airway pressure acts as a pneumatic splint and mayprevent upper airway occlusion by pushing the soft palate and tongueforward and away from the posterior oropharyngeal wall.

Non-invasive ventilation (NIV) provides ventilatory support to a patientthrough the tipper airways to assist the patient in taking a full breathand/or maintain adequate oxygen levels in the body by doing some or allof the work of breathing. The ventilatory support is provided via apatient interface. Non-invasive ventilation (NIV) has been used to treatOHS, COPD, MD and chest Wall disorders.

Invasive ventilation (IV) provides ventilatory support to patients thatare no longer able to effectively breathe themselves and may be providedusing a tracheostomy tube.

Ventilators may control the timing and pressure of breaths pumped intothe patient, and monitor the breaths taken by the patient. The methodsof control and monitoring of patients typically include volume-cycledand pressure-cycled methods. The volume-cycled methods may include amongothers, Pressure-Regulated Volume Control (PRVC). Volume Ventilation(VV), and Volume Controlled Continuous Mandatory Ventilation (VC-CMV)techniques. The pressure-cycled, methods may involve, among others,Assist Control (AC). Synchronized Intermittent Mandatory Ventilation(SIMV), Controlled Mechanical Ventilation (CMV), Pressure SupportVentilation (PSV), Continuous Positive Airway Pressure (CPAP), orPositive End Expiratory Pressure (PEEP) techniques.

3.2.2 Therapy Systems

A therapy system, or a respiratory therapy system, may comprise aRespiratory Pressure Therapy Device (RPT device), an air circuit, ahumidifier, a patient interface, and data management.

3.2.2.1 Patient Interface

A patient interface may be used to interface respiratory equipment toits user, for example by providing a flow of air. The flow of air may beprovided via a mask to the nose and/or mouth, a tube to the mouth or atracheostomy tube to the trachea of the user. Depending upon the therapyto be applied, the patient interface may form a seal, e.g. with a faceregion of the patient, to facilitate the delivery of gas at a pressureat sufficient variance with ambient pressure to effect therapy, e.g., apositive pressure of about 10 cmH2O. For other forms of therapy, such asthe delivery of oxygen, the patient interface may not include a sealsufficient to facilitate delivery to the airways of a supply of gas at apositive pressure of about 10 cmH2O.

The design of a patient interface presents a number of challenges. Theface has a complex three-dimensional shape. The size and shape of nosesvaries considerably between individuals. Since the head includes bone,cartilage and soft tissue, different regions of the face responddifferently to mechanical forces. The jaw or mandible may move relativeto other bones of the skull. The whole head may move during the courseof a period of respiratory therapy.

As a consequence of these challenges, some masks suffer from being oneor more of obtrusive, aesthetically undesirable, costly, poorly lilting,difficult to use, and uncomfortable especially when worn for longperiods of time or when a patient is unfamiliar with a system. Forexample, masks designed solely for aviators, mask designed as part ofpersonal protection equipment (e.g. filter masks), SCUBA masks, or forthe administration of anesthetics may be tolerable for their originalapplication, but nevertheless may be undesirably uncomfortable to beworn for extended periods of time, e.g. several hours. This discomfortmay lead to a reduction in patient compliance with, therapy. This iseven more so if the mask is to be worn during sleep.

Nasal CPAP therapy is highly effective to treat certain respiratorydisorders, provided patients comply with therapy. If a mask isuncomfortable, or difficult to use a patient may not comply withtherapy. Since it is often recommended that a patient regularly washtheir mask, if a mask is difficult to clean (e.g. difficult to assembleor disassemble), patients may not clean their mask and this may impactnegatively on patient compliance.

While a mask for other applications (e.g. aviators) may not be suitablefor use in treating sleep disordered breathing, a mask designed for usein treating sleep disordered breathing may be suitable for otherapplications.

For these reasons, masks for delivery of nasal CPAP during sleep form adistinct field.

3.2.2.1.1 Seal-Forming Portion

Patient interfaces may include a seal-forming portion. Since it is indirect contact with the patient's face, the shape and configuration ofthe seal-forming portion can have a direct impact on the effectivenessand comfort of the patient interface.

A patient interface may be partly characterised according to the designintent of where the seal-forming portion is to engage with the face inuse. In one form of patient interface, a seal-forming portion maycomprise two sub-portions to engage with respective left and rightnares. In one form of patient interface, a seal-forming portion maycomprise a single element that surrounds both nares in use. Such singleelement may be designed to, for example, overlay an upper lip region anda nasal bridge region of a face. In one form of patient inter face, aseal-forming portion may comprise an element that surrounds a mouthregion in use, e.g. by forming a seal on a lower lip region of a face.In one form of patient interface, a seal-forming portion may comprise asingle element that surrounds both nares and a mouth region in use.These different types of patient interfaces may be known by a variety ofnames by their manufacturer including nasal masks, full-face masks,nasal pillows, nasal puffs and oro-nasal masks.

A seal-forming portion that may be effective in one region of apatient's face may be in appropriate in another region, e.g. because ofthe different shape, structure, variability and/or sensitivity regionsof the patient's face. For example, a seal on swimming goggles thatoverlays a patient's forehead may not be appropriate to use on apatient's nose.

Certain seal-forming portions may be designed for mass manufacture suchthat one design is able to fit and be comfortable and effective for awide range of different face shapes and sizes. To the extent to whichthere is a mismatch between the shape of the patient's face and theseal-forming portion of the mass-manufactured patient interface, one orboth must adapt in order for a seal to form.

One type of seal-forming portion extends around the periphery of thepatient interface, and is intended to seal against the user's face whenforce is applied to the patient interface with the seal-forming portionin confronting engagement with the user's face. The seal-forming portionmay include an air or fluid filled cushion, or a moulded or formedsurface of a resilient seal element made of an elastomer such as arubber. With this type of seal-forming portion, if the fit is notadequate, there wilt be gaps between the seal-forming portion and theface, and additional force will be required to force the patientinterface against the face in order to achieve a seal.

Another type of seal-forming portion incorporates a flap seal of thinmaterial so positioned about the periphery of the mask so as to providea self-scaling action against the face of the user when positivepressure is applied within the mask. Like the previous style of sealforming portion, if the match between the face and the mask is not good,additional force may be required to effect a seal, or the mask may leak.Furthermore, if the shape of the seal-forming portion docs not matchthat of the patient, it may crease or buckle in use, giving rise toleaks.

Another form of seal-forming portion may use adhesive to effect a seal.Some patients may find it inconvenient to constantly apply and remove anadhesive to their face.

A range of patient interface seal-forming portion technologies aredisclosed in the following patent applications, assigned to ResMedLimited: WO 1998/004,310; WO 2006/074,513; WO 2010/135,785. One form ofnasal pillow is found in the Adam Circuit manufactured by PuritanBennett. Another nasal pillow, or nasal puff is the subject of U.S. Pat.No. 4,782,832 (Trimble et al.), assigned to Puritan-Bennett Corporation.

ResMed Limited has manufactured the following products that incorporatenasal pillows: SWIFT nasal pillows mask, SWIFT II nasal pillows mask,SWIFT LT nasal pillows mask, SWIFT FX nasal pillows mask and LIBERTYfull-face mask. The following patent applications, assigned to ResMedLimited, describe nasal pillows masks: International Patent ApplicationWO2004/073,778 (describing amongst other things aspects of ResMed SWIFTnasal pillows), US' Patent Application 2009/0044808 (describing amongstother things aspects of ResMed SWIFT LT nasal pillows); InternationalPatent Applications WO 2005/063,328 and WO 2006/130,903 (describingamongst other things aspects of ResMed LIBERTY full-face mask);International Patent Application WO 2009/052,560 (describing amongstother things aspects of ResMed SWIFT FX nasal pillows).

3.2.2.1.2 Positioning and Stabilising

A seal-forming portion of a patient interface used for positive airpressure therapy is subject to the corresponding force of the airpressure to disrupt a seal. Thus a variety of techniques have been usedto position the seal-forming portion, and to maintain it in scalingrelation with the appropriate portion of the face.

One technique is the use of adhesives. See for example US Patentpublication US 2010/0000534.

Another technique is the use of one or more straps and stabilisingharnesses. Many such harnesses suffer from being one or more ofill-fitting, bulky, uncomfortable and awkward to use.

3.2.2.1.3 Vent Technologies

Some forms of patient interface systems may include a vent to allow thewashout of exhaled carbon dioxide. The vent may allow a flow of gas froman interior space of the patient interface, e.g. the plenum chamber, toan exterior of the patient interface, e.g. to ambient. The vent maycomprise an orifice and gas may flow through the orifice in use of themask. Many such vents are noisy. Others may block in use and provideinsufficient washout. Some vents may be disruptive of the sleep of abed-partner 1100 of the patient 1000, e.g. through noise or focussedairflow.

ResMed Limited has developed a number of improved mask venttechnologies. See WO 1998/034,665; WO 2000/078,381; U.S. Pat. No.6,581,594; US patent application; US 2009/0050156; US Patent Application2009/0044808.

Table of noise of prior masks (ISO 17510- 2:2007, 10 cmH₂O pressure at 1m) A-weighted A-weighted Mask sound power level sound pressure Year Maskname type dbA (uncertainty) dbA (uncertainty) (approx.) Glue-on (*)nasal 50.9 42.9 1981 ResCare nasal 31.5 23.5 1993 standard (*) ResMednasal 29.5 21.5 1998 Mirage (*) ResMed nasal 36 (3) 28 (3) 2000UltraMirage ResMed nasal 32 (3) 24 (3) 2002 Mirage Activa ResMed nasal30 (3) 22 (3) 2008 Mirage Micro ResMed nasal 29 (3) 22 (3) 2008 MirageSoftGel ResMed nasal 26 (3) 18 (3) 2010 Mirage FX ResMed nasal 37   29  2004 Mirage pillows Swift (*) ResMed nasal 28 (3) 20 (3) 2005 Miragepillows Swift II ResMed nasal 25 (3) 17 (3) 2008 Mirage pillows Swift LT((*) one specimen only, measured using test method specified in ISO3744in CPAP mode at 10 cmH₂O)

Sound pressure values of a variety of objects are listed below

A-weighted sound pressure Object dbA (uncertainty) Notes Vacuum cleaner:Nilfisk Walter 68 ISO3744 at Broadly Litter Hog: B+ Grade 1 m distanceConversational speech 60 1 m distance Average home 50 Quiet library 40Quiet bedroom at night 30 Background in TV studio 20

3.2.2.2 Respiratory Pressure Therapy (RPT) Device

One known type of RPT device used for treating sleep disorderedbreathing is a positive airway pressure (PAP) device, such as the S9Series, manufactured by ResMed. Other examples of RPT devices include aventilator and a high flow therapy device. In some cases, RPT devicessuch as PAP devices have been known to be referred to as' flowgenerators. Ventilators such as the ResMed Stellar™ Series of Adult andPediatric Ventilators may provide support for invasive and non-invasivenon-dependent ventilation for a range of patients for treating a numberof conditions such as but not limited to NMD, OHS and COPD.

The ResMed Elisée™ 150 ventilator and ResMed VS III ventilator mayprovide support for invasive and non-invasive dependent ventilationsuitable for adult or paediatric patients for treating a number ofconditions. These ventilators provide volumetric and barometricventilation modes with a single or double limb circuit.

RPT devices typically comprise a pressure generator, such as amotor-driven blower or a compressed gas reservoir, and are configured tosupply a flow of air to the airway of a patient. In some cases, the flowof air may be supplied to the airway of the patient at positivepressure. The outlet of the RPT device is connected via an air circuitto a patient interface, such as those described above.

RPT devices typically also include an inlet filter, various transducers,and a microprocessor-based controller. A blower may include aservo-control led motor, a volute, and an impeller. In some cases abrake for the motor may be implemented to more rapidly reduce the speedof the blower so as to overcome the inertia of the motor and impeller.The braking can permit the blower to more rapidly achieve a lowerpressure condition in time for synchronization with expiration despitethe inertia. In some cases the pressure generator may also include avalve capable of discharging generated air to atmosphere as a means foraltering the pressure delivered to the patient as an alternative tomotor speed control. The transducers may measure, amongst other things,motor speed, mass flow rate and outlet pressure, such as with a pressuretransducer or the like. The controller may include data storage capacitywith or without integrated data retrieval and display functions.

Table of noise output levels of prior RPT devices (one specimen only,measured using test method specified in ISO3744 in CPAP mode at 10cmH2O).

A-weighted sound Year RPT Device name power level dB(A) (approx.)C-Series Tango 31.9 2007 C-Series Tango with Humidifier 33.1 2007 S8Escape II 30.5 2005 S8 Escape II with H4i Humidifier 31.1 2005 S9AutoSet 26.5 2010 S9 AutoSet with H5i Humidifier 28.6 2010

3.2.2.3 Humidifier

Delivery of a flow of air without humidification may cause drying ofairways. Medical humidifiers are used to increase humidity and/ortemperature of the flow of air in relation to ambient air when required,typically where the patient may be, asleep or resting (e.g. at ahospital). As a result, a medical humidifier may be relatively small forbedside placement, and it may be configured to only humidify and/or heatthe flow of air delivered to the patient without humidifying and/orheating the patient's surroundings. Room-based systems (e.g. a sauna, anair conditioner, an evaporative cooler), for example, may also humidifyair that is breathed in by the patient, however they would also humidifyand/or heat the entire room, which may cause discomfort to theoccupants.

The use of a humidifier with a RPT device and the patient interfaceproduces humidified gas that minimizes drying of the nasal mucosa andincreases patient airway comfort. In addition in cooler climates, warmair applied generally to the face area in and about the patientinterface is more, comfortable than cold air.

Respiratory humidifiers are available in many forms and may be astandalone device that is coupled to a RPT device via an air circuit, isintegrated with the RPT device or configured to be directly coupled tothe relevant RPT device. While known passive humidifiers can providesome relief, generally a heated humidifier may be used to providesufficient humidity and temperature to the air so that the patient willbe comfortable. Humidifiers typically comprise a water reservoir or tubhaving a capacity of several hundred milliliters (ml), a heating elementfor heating the water in the reservoir, a control to enable the level ofhumidification to be varied, a gas inlet to receive air from the RPTdevice, and a gas outlet adapted to be connected to an air circuit thatdelivers the humidified air to the patient interface.

Heated passover humidification is one common form of humidification usedwith a RPT device. In such humidifiers the heating element may beincorporated in a beater plate which sits under, and is in thermalcontact with, the water tub. Thus, heat is transferred from the heaterplate to the water reservoir primarily by conduction. The air flow fromthe RPT device passes over the heated water in the water tub resultingin water vapour being taken up by the air flow. The ResMed H4i™ and H5i™Humidifiers are examples of such heated passover humidifiers that areused in combination with ResMed S8 and S9 CPAP devices respectively.

Other humidifiers may also be used such as a bubble or diffuserhumidifier, a jet humidifier or a wicking humidifier. In a bubble ordiffuser humidifier the air is conducted below the surface of the waterand allowed to bubble back, to the top. A jet humidifier produces anaerosol of water and baffles or fillers may be used so that theparticles are either removed or evaporated before leaving thehumidifier. A wicking humidifier uses a water absorbing material, suchas sponge or paper, to absorb water by capillary action. The waterabsorbing material is placed within or adjacent at least a portion ofthe air flow path to allow evaporation of the water in the absorbingmaterial to be taken up into the air flow.

An alternative form of humidification is provided, by the ResMedHumiCare™ D900 humidifier that uses a CounterStream™ technology thatdirects the ah flow over a large surface area in a first directionwhilst supplying heated water to the large surface area in a secondopposite direction. The ResMed HumiCare™ D900 humidifier may be usedwith a range of invasive and noninvasive ventilators.

4 (C) BRIEF SUMMARY OF THE TECHNOLOGY

The present technology is directed towards providing medical devicesused in the diagnosis, amelioration, treatment, or prevention ofrespiratory disorders having one or more of improved comfort, cost,efficacy, ease of use and manufacturability.

A first aspect of the present technology relates to apparatus used inthe diagnosis, amelioration, treatment or prevention of a respiratorydisorder.

Another aspect of the present technology relates to methods used in thediagnosis, amelioration, treatment or prevention of a respiratorydisorder.

Another aspect of the present technology is directed to a connectionassembly for a respiratory therapy system. The connection assembly maycomprise: an outlet assembly, said outlet assembly including an outlethousing and a swivelling disc located on said outlet housing, saidoutlet housing comprising a void and an annular section; and a cablehaving a first end to connect to an electrical connector and a secondend to connect to at least one electrical component of the respiratorytherapy system, said cable having a slack portion, wherein saidswivelling disc is rotatable relative to said outlet housing between afirst position and a second position, and wherein the slack portion ofthe cable extends from the void and wraps around the annular section asthe swivelling disc is rotated from the first position (o the secondposition.

In examples, (a) said swivelling disc may include a first pair of stopsurfaces and said outlet housing may include a second pair of stopsurfaces to limit the rotation of the swivelling disc relative to theoutlet housing, (b) each pair of stop surfaces may be arranged to limitthe rotation of the swivelling disc relative to the outlet housing toless than 360°, (c) each pair of stop surfaces may be arranged to limitthe rotation of the swivelling disc relative to the outlet housing togreater than 180°, (d) the first pair of stop surfaces may be located oneither side of and adjacent to a receiver opening in the swivelling discthat receives the cable, (e) the outlet housing may include an innerwall, said second pair of stop surfaces may be located on the inner walland said inner wall may be configured to rotatably receive saidswivelling disc, (f) the void may be defined, at least in part, by theinner wall and an outer wall of the outlet housing, (g) a distancebetween the inner wall and the outer wall of the outlet housing andacross the void may be in the range of about 2 mm to about 5 mm, (h) thecable may comprise a flexible circuit board or a ribbon cable, (i) thecable may have a substantially rectangular cross-section, and a majorside of the substantially rectangular cross-section may be oriented inparallel to an axis of rotation of the swivelling disc, (j) theswivelling disc may include an electrical connector receiver to receivethe electrical connector, and the electrical connector may beelectrically connectable to the cable within the electrical connectorreceiver, (k) the electrical connector receiver may include an openingto receive the electrical connector when the outlet connector isconnected to the outlet assembly, and the outlet connector may be shapedto cover the opening of the electrical connector receiver when theoutlet connector is connected to the outlet assembly, (l) the outletconnector may include a recess proximal to the electrical connectorshaped to correspond to a protruding portion of the electrical connectorreceiver, (m) the outlet housing may include a retainer, said retainermay be configured to retain the slack portion within the void of theoutlet housing as the swivelling disc is rotated from the secondposition to the first, position, (n) the outlet connector may include atleast one retention feature to releasably connect the outlet connectorto the swivelling disc via at least one corresponding notch located onthe swivelling disc, (o) the outlet connector may include at least onetab, each said at least one retention feature may be located on acorresponding tab having a corresponding actuator, and each saidactuator may be adapted to release each said retention feature from acorresponding notch of the swivelling disc, (p) the gas delivery tubemay include a heating element disposed along at least a portion of thegas delivery tube, said heating element may be connected to theelectrical connector, (q) the outlet connector may include a grommet toconnect the gas delivery tube to a lube connection region of the outlet,connector, (r) the grommet may include threads to receive correspondingcoils of the gas delivery tube, (s) the grommet may be comprised of athermoplastic elastomer, (t) the grommet may include at least one keyway for restraining the grommet during forming, (u) the grommet mayinclude at least one radial flange to engage a mold tool during forming,(v) the grommet may include a grip section, (w) the grip section mayinclude a plurality of ridges' and recesses disposed radially about thegrommet, (x) the outlet connector may comprise an elbow, (y) the elbowmay be bent at about 90°, (z) when the outlet connector is connected tothe outlet assembly a rotatable, electrical, and pneumatic connectionmay be formed, (aa) the outlet assembly may comprise an airflow tubehaving a tapered end to connect to the outlet connector and form apneumatic seal therewith, (bb) the swivelling disc may include at leastone tang to rotatably connect the swivelling disc to the outlet housing,(cc) the slack portion may comprise a fixed length that is less than acircumference of the swivelling disc, (dd) when the swivelling disc isin the first position the slack portion may gather in the void, (ee) alarger portion of the cable may be contained in the void when theswivelling disc is in the first position than when the swivelling discis in the second position, (ff) an electrical connection formed by theconnection assembly may comprise at least one wire to perform poweringand/or signalling functions, (gg) the outlet connector may include atleast one rib at an outlet connection region to support the outletconnector on the airflow tube when connected to the outlet assembly,(hh) the connection assembly may comprise an outlet connector located atan end of a gas delivery tube to connect the gas delivery tube to theoutlet assembly, said outlet connector including art electricalconnector, wherein said outlet connector and said swivelling disc areconnectable such that said outlet connector and said swivelling disc arerotatable in unison, (ii) the annular section, may be defined, at leastin part, by the inner wall and an outer wall of the outlet housing, (jj)the void and annular section may be on opposing sides of the inner wall,(kk) the outlet housing may be comprised of thermoplastic elastomer,(ll) the elbow may be bent at an angle between about 0° and about 120°,(mm) the airflow tube may be removable, (nn) the outlet connector mayinclude a receiver at a tube connection region, said receiver comprisingreceiver threads, a receiver flange, and at least one protrusion, (oo)the outlet connector may comprise a clip to secure the gas delivery tubewithin the receiver, the clip comprising clip threads, a clip flange,and at least one tab and each at least one tab may be structured toengage with a respective one of the at least one protrusion to securethe clip to the receiver, (pp) the clip threads and the receiver threadsmay be structured to receive corresponding coils of the gas deliverytube, and/or (qq) the clip flange and the receiver flange may bestructured to engage a mold tool during forming.

Another aspect of the present technology is greeted to a method ofmanufacturing an air circuit for use with a respiratory therapy device.The method may comprise: molding an outlet connector substructureincluding a tube connection region, wherein an interior of said tubeconnection region is formed around a mandrel such that an orifice isformed in the outlet connector substructure opposite the tube connectionregion; threading a grommet onto a first end of a gas delivery tubehaving a helical, heating element disposed thereon such that aconnection portion of the gas delivery tube extends through the grommet;connecting the connection portion of the gas delivery tube to the tubeconnection region of the outlet connector substructure; attaching anelectrical connector to the helical heating element at the tubeconnection region of the outlet connector substructure; molding anoutlet connector housing over the outlet connector substructure, atleast in part by scaling the mold tool around the grommet; and attachingan end cap over the orifice.

Another aspect of the present technology is directed to a respiratorytherapy system for the treatment of sleep disordered breathing in apatient. The respiratory therapy system may comprise: a pressuregenerator to provide a flow of air to the patient at positive pressure,the pressure generator comprising a housing: an outlet assembly locatedon the housing, said outlet, assembly comprising: an outlet housing anda swivelling disc located on said outlet housing, said outlet housingcomprising a void; and a cable having a first end to connect to anelectrical connector and a second end to connect to at least oneelectrical component of the respiratory therapy system, said cablehaving a slack portion; and an air circuit configured to connect to theoutlet assembly at a first end and to a patient interface at a secondend, said air circuit comprising: an outlet connector located at thesecond end of a gas delivery tube to connect the gas delivery tube tothe outlet assembly, said outlet connector including the electricalconnector, wherein said outlet connector and said swivelling disc areconnectable such that said outlet connector and said swivelling disc arerotatable in unison relative to said outlet housing between a firstposition and a second position, and wherein a larger portion of thecable is contained in the void when the swivelling disc is in the firstposition than when the swivelling disc is in the second position.

In examples, (a) said swivelling disc may include a first pair of stopsurfaces and said outlet housing may include a second pair of stopsurfaces to limit the rotation of the swivelling disc relative to theoutlet housing, (b) each pair of stop surfaces may be arranged to limitthe rotation of the swivelling disc relative to the outlet housing toless than 360°, (c) each pair of stop surfaces may be arranged to limitthe rotation of the swivelling disc relative to the outlet housing togreater than 180°, (d) the first pair of stop surfaces may be located oneither side of and adjacent to a receiver opening in the swivellingdisc, that receives the cable, (e) the outlet housing may include aninner wall, said second pair of stop surfaces may be located on theinner wall and said inner, wall may be configured to rotatably receivesaid swivelling disc, (f) the void may be defined, at least in part, bythe inner wall and an outer wall of the outlet housing, (g) a distancebetween the inner wall and the outer wall of the outlet housing andacross the void may be in the range of about 2 mm to about 5 mm, (h) thecable may comprise a flexible circuit board or a ribbon cable, (i) thecable may have a substantially rectangular cross-section, and a majorside of the substantially rectangular cross-section may be oriented inparallel to an axis of rotation of the swivelling disc, (j) theswivelling disc may include an electrical connector receiver to receivethe electrical connector, and the electrical connector may beelectrically connectable to the cable within the electrical connectorreceiver, (k) the electrical connector receiver may include an openingto receive the electrical connector when the outlet connector isconnected to the outlet assembly, and the outlet connector may be shapedto cover the opening of the electrical connector receiver when theoutlet connector is connected to the outlet assembly, (l) the outletconnector may include a recess proximal to the electrical connectorshaped to correspond to a protruding portion of the electrical connectorreceiver, (m) the outlet housing may include a retainer, said retainermay be configured to retain the slack portion within the outlet housingas the swivelling disc is rotated from the second position to the firstposition, (n) the outlet connector may include at least one retentionfeature to releasably connect the outlet connector to the swivellingdisc via at least one corresponding notch located on the swivellingdisc, (o) the outlet connector may include at least one tab, each saidat least one retention feature may be located on a corresponding tabhaving a corresponding actuator, and each said actuator may be adaptedto release each said retention feature from a corresponding notch, ofthe swivelling disc, (p) the gas delivery tube may include a heatingelement disposed along at least a portion of the gas delivery tube, saidheating element may be connected to the electrical connector, (q) theoutlet connector may include a grommet to connect the gas delivery tubeto a tube connection region of the outlet connector, (r) the grommet mayinclude threads to receive corresponding coils of the gas delivery tube,(s) the grommet may be comprised of a thermoplastic elastomer, (t) thegrommet may include at least one keyway for restraining the grommetduring forming, (u) the grommet may include at least one radial flangeto engage a mold tool during forming, (y) the grommet may include a gripsection, (w) the grip section may include a plurality of ridges andrecesses disposed radially about the grommet, (x) the outlet connectormay comprise an elbow (y) the elbow may be bent at about 90°, (z) theoutlet housing may be comprised of thermoplastic elastomer, (aa) whenthe outlet connector is connected to the outlet assembly a rotatable,electrical, and pneumatic connection may be formed, (bb) the outletassembly may comprise a airflow tube having a tapered end to connect tothe outlet connector and form a pneumatic seal therewith, (cc) theswivelling disc may include at least one tang to rotatably connect theswivelling disc to the outlet housing, (dd) the slack portion maycomprise a fixed length that is less than a circumference of theswivelling disc, (ee) when the swivelling disc is in the first positionthe slack portion may gather the void, (ff) the slack portion of thecable may extend from the void and wrap around the annular section asthe swivelling disc is rotated from the first position to the secondposition, (gg) an electrical connection formed by the connectionassembly may comprise at least one wire to perform powering and/orsignalling functions, (hh) the outlet connector may include at least onerib at an outlet connection region to support the outlet connector onthe airflow tube when connected, to the outlet assembly, (ii) therespiratory therapy system may comprise a humidifier to humidify theflow of air, (jj) the outlet housing may comprise an annular sectionconfigured to receive the cable when the swivelling disc is in thesecond position, (kk) the elbow may be bent at an angle between about 0°and about 120°, (ll) the airflow tube may be removable, (mm) the outletconnector may include a receiver at a tube connection region, said,receiver comprising receiver threads, a receiver flange, and at leastone protrusion, (nn) the outlet connector may comprise a clip to securethe gas delivery tube-within the receiver, the clip comprising clipthreads, a clip flange, and at least one tab and each at least one tabmay lie structured to engage with a respective one of the at least oneprotrusion to secure the clip to the receiver, (oo) the clip threads andthe receiver threads may be structured to receive corresponding coils ofthe gas delivery tube, and/or (pp) the clip flange and the receiverflange may be structured to engage a mold tool during forming.

Another aspect of the present technology is directed to a connectionassembly for a respiratory therapy system. The connection assembly maycomprise: a housing; an outlet assembly located on the housing andincluding an outlet tube; an outlet connector having a first end adaptedto pneumatically connect to a gas delivery tube and a second end adaptedto removably connect to the outlet assembly and form a pneumaticconnection with the outlet tube; a plurality of first electricalconnectors; and a second electrical connector adapted to electricallyconnect to one of the plurality of first electrical connectors, whereinthe outlet assembly and the outlet connector are removably connectablein a plurality of predetermined and discrete positions to form bothpneumatic and electrical connections.

In examples, (a) the quantity of the plurality of first electricalconnectors may equal the quantity of the plurality of predetermined anddiscrete positions, (b) the outlet assembly may comprise the pluralityof first electrical connectors and the outlet connector may comprise thesecond electrical, connector, (c) the outlet assembly may include atleast one cable to electrically connect the plurality of firstelectrical connectors to at least one electronic component of therespiratory therapy system, (d) the outlet assembly may comprise thesecond electrical connector and the outlet connector may comprise theplurality of first electrical connectors, (e) the connection assemblymay comprise at least one dummy connector configured to cover at leastone of the plurality of first electrical connectors that is notconnected to the second electrical connector, (f) a quantity of the atleast one dummy connectors may be one less than a quantity of theplurality of first electrical connectors, (g) the outlet connector maycomprise an elbow, (h) the elbow may be bent at about 90°, (i) theoutlet assembly may include a recess to receive the second end of theoutlet connector, and the recess and the second end of the outletconnector may be shaped substantially correspondingly, (j) the elbow maybe bent between about 0° and about 120°, and/or (k) an electricalconnection formed by the connection assembly may comprise at least onewire to perform powering and/or signalling functions.

Another aspect of the present technology is directed to a method ofmanufacturing an air circuit for use with a respiratory therapy device.The method may comprise: molding an outlet connector substructure, theoutlet connector substructure including a receiver and receiver threadsat a tube connection region, wherein an interior of said outletconnector substructure is formed around a mandrel such that an orificeis formed in the outlet connector substructure opposite the tubeconnection region; threading a first end of a gas delivery tube having ahelical heating element disposed thereon into the receiver threads suchthat a connection portion of the gas delivery tube extends through thereceiver; connecting the connection portion of the gas delivery tube tothe tube connection region of the outlet connector substructure bysecuring a clip around the connection portion of the gas delivery tubesuch that the connection portion of the gas delivery tube issubstantially surrounded by the receiver and the clip; attaching anelectrical connector to the helical heating element at the tubeconnection region of the outlet connector substructure; molding anoutlet connector housing over the outlet connector substructure, atleast in part by scaling the mold tool around the tube connectionregion; and attaching an end cap over the orifice.

In examples, (a) the clip may be a separate component from the receiver,the Clip comprising a pair of tabs and the receiver comprising a pair ofprotrusions, and securing the clip may comprise snapping each of thepair of tabs onto respective ones of the pair of protrusions, and/or (b)the clip and the receiver may comprise one piece and the clip is joinedto the receiver by a hinge, the clip comprising a tab and the receivercomprising a protrusion, and securing the clip may comprise snapping thetab onto the protrusion.

Another aspect of the present technology is directed to an outletconnector assembly for a device to deliver continuous positive airwaypressure to a patient for treatment of sleep disordered breathing. Theoutlet connector assembly may comprise; a body having a tube connectionregion and an outlet connection region; a cap structured to attach tothe body such that the cap and the body at least partially define anairflow path between the tube connection region and the outletconnection region; and an electrical contact assembly molded to the bodyand configured to form an electrical connection between the tubeconnection region and the outlet connection region.

In examples, (a) the airflow path defined at least partially by the capand the body may have a curved shape and the airflow path may have asubstantially uniform cross-section, (b) a radius of the curved shape ofthe airflow path may be 1 to 3 times the diameter of the airflow path,(c) an inner radius and an outer radius of the curved shape of theairflow may share a common are center, (d) the tube connection regionmay comprise a shoulder and contact recesses, (c) the electrical contactassembly may comprise contacts positioned in the contact recesses, thecontacts being extended completely around the outlet connection region,(f) the cap may comprise tabs and prongs and the body may comprisenotches and detents, and the tabs may engage the notches and the prongsmay engage the detents to attach the cap to the body, (g) the tubeconnection region may comprise a thread shaped to receive a helical coilof a gas delivery tube, and/or (h) the outlet connector assembly maycomprise a housing overmolded to the body and the cap to pneumaticallyseal the airflow path.

Of course, portions of the examples/aspects may formsub-examples/sub-aspects of the present technology. Also, various onesof the sub-examples/sub-aspects and/or examples/aspects may be combinedin various manners and also constitute additional examples/aspects orsub-examples/sub-aspects of the present technology.

Other features of the technology will be apparent from consideration ofthe information contained in the following detailed description,abstract, drawings and claims.

5 (D) BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS

The present technology is illustrated by way of example, and not by wayof limitation, in the figures of the accompanying drawings, in whichlike reference numerals refer to similar elements including:

5.1 Therapy Systems

FIG. 1a shows a system in accordance with the present technology. Apatient 1000 wearing a patient interface 3000, in the form of a nasalpillows, receives a supply of air at positive pressure from a RPT device4000. Air from the RPT device is humidified in a humidifier 5000, andpasses along an air circuit 4100 to the patient 1000.

FIG. 1b shows a system including a patient 1000 wearing a patientinterface 3000, in the form of a nasal mask, receiving a supply of airat positive pressure from a RPT device 4000. Air from the RPT device ishumidified in a humidifier 5000, and passes along an air circuit 4100 tothe patient 1000.

FIG. 1c shows a system including a patient 1000 wearing a patientinterface 3000, in the form of a full-face mask, receiving a supply ofair at positive pressure from a RPT device 4000. Air from the RPT deviceis humidified in a humidifier 5000, and passes along an air circuit 4100to the patient 1000.

5.2 Therapy

5.2.1 Respiratory System

FIG. 2a shows an overview of a human respiratory system including thenasal and oral cavities, the larynx, vocal folds, oesophagus, trachea,bronchus, lung, alveolar sacs, heart and diaphragm.

FIG. 2b shows a view of a human upper airway including the nasal cavity,nasal hone, lateral nasal cartilage, greater alar cartilage, nostril,lip superior, lip inferior, larynx, hard palate, soft palate,oropharynx, tongue, epiglottis, vocal folds, oesophagus and trachea.

5.2.2 Patient Interface

FIG. 2c shows a patient interface in the form of a nasal mask inaccordance with one form of the present technology.

5.3 RPT Device and Humidifier

FIG. 3a shows a RPT device in an exploded view in accordance with oneform of the present technology.

FIG. 3b shows another RPT device 4000 with an integrated humidifier 5000in an exploded view in accordance with one aspect of the presenttechnology.

FIG. 3c shows a front perspective view of an RPT device 4000 with anintegrated humidifier 5000 in accordance with one aspect of the presenttechnology.

FIG. 3d shows a rear perspective view of an RPT device 4000 with anintegrated humidifier 5000 in accordance with. One aspect of the presenttechnology.

FIG. 3e shows a schematic diagram of the pneumatic circuit of a RPTdevice in accordance with one form of the present technology. Thedirections of upstream and downstream are indicated.

FIG. 3f shows a schematic diagram of electrical components of an RPTdevice in accordance with, one form of the present technology.

FIG. 3g Shows a perspective view of a humidifier 5000 in accordance withone form, of the present technology.

FIG. 3h shows a perspective view of a humidifier 5000 in accordance withone form of the present technology, showing the humidifier reservoir5180 in ail exploded state.

FIG. 4a shows a perspective view of an air circuit comprising an outletconnector according to an example of the present technology.

FIG. 4b shows another perspective view of an air circuit comprising anoutlet connector according to an example of the present technology.

FIG. 4c shows a detailed view of an electrical connector of an outletconnector according to an example of the present technology.

FIG. 4d shows another perspective view of a portion of an outletconnector according to an example of the present technology.

FIG. 4e shows a detailed bottom view of an outlet connector and aportion of an airflow tube according to an example of the presenttechnology.

FIG. 4f shows another detailed bottom view of an outlet connectoraccording to an example of the present technology.

FIG. 4g shows another perspective view of an air circuit comprising anoutlet connector according to an example of the present technology.

FIG. 4h shows another perspective view of an air circuit comprising anoutlet connector according to an example of the present technology.

FIG. 5a shows a perspective view of an air circuit comprising an outletconnector and a tube according to an example of the present technology.

FIG. 5b shows a bottom view of an air circuit comprising an outletconnector and a tube according to an example of the present technology.

FIG. 5c shows a side view of an air circuit comprising an outletconnector and a tube according to an example of the present technology.

FIG. 5d shows an end view of an air circuit comprising an outletconnector and a tube according to an example of the present technology.

FIG. 5e shows a bottom perspective view of an air circuit comprising anoutlet connector and a tube according to an example of the presenttechnology.

FIG. 5f shows an exploded perspective view of an air circuit comprisingan outlet connector and a tube according to an example of the presenttechnology.

FIG. 5g shows a partially exploded perspective view of an air circuitcomprising an outlet connector and a tube according to an example of thepresent technology.

FIG. 5h shows a detailed side cross-section view of an air circuitcomprising an outlet connector and a tube according to an example of thepresent technology.

FIG. 5i shows a side cross-section view of au air circuit comprising anoutlet connector and a tube according to an example of the presenttechnology.

FIG. 6a shows a perspective view of a substructure of an outletconnector and an electrical connector according to an example of thepresent technology.

FIG. 6b shows a perspective view of an electrical connector of an outletconnector according to an example of the present technology.

FIG. 6c shows a detailed perspective view of a substructure of an outletconnector according to an example of the present technology.

FIG. 6d shows a top perspective view of a substructure of an outletconnector according to an example of the present technology.

FIG. 6e shows another detailed perspective view of a substructure of anoutlet connector according to an example of the present technology.

FIG. 6f shows a perspective view of a substructure of an outletconnector, a lube and an electrical connector according to an example ofthe present technology.

FIG. 6g shows a cross-sectional perspective view of a substructure of anoutlet connector, a tube and an electrical connector according to anexample of the present technology.

FIG. 6h shows a perspective view of a substructure of an outletconnector according to an example of the present technology.

FIG. 6i shows a bottom perspective view of a substructure of an outletconnector according to an example of the present technology.

FIG. 7a shows a perspective view of a grommet according to an example ofthe present technology.

FIG. 7b shows a cross-sectional perspective view of a grommet accordingto an example of the present technology.

FIG. 7c shows a perspective view of a grommet according to an example ofthe present technology.

FIG. 7d shows another perspective view of a grommet according to anexample of the present technology.

FIG. 7e shows a side view of a grommet according to an example of thepresent technology.

FIG. 7f shows an end view of a grommet according to an example of thepresent technology.

FIG. 8a shows a bottom perspective view of a swivelling disc and a cableaccording to an example of the present technology.

FIG. 8b shows a bottom perspective view of a cable housing, a swivellingdisc, and a cable according to an example of the present technology.

FIG. 8c shows a perspective view of a cable housing according to anexample of the present technology.

FIG. 8d shows a perspective view of a cable housing with a swivellingdisc and a cable in a first position relative to the cable housingaccording to an example of the present technology.

FIG. 8e shows a perspective view of a cable housing with a swivellingdisc and a cable in a second, position relative to the cable housingaccording to an example of the present technology.

FIG. 8f shows a perspective view of a cable housing with a swivellingdisc and a cable in a third position relative to the cable housingaccording to an example of the present technology.

FIG. 8g shows a perspective view of a cable housing with a swivellingdisc, a cable, and a substructure of an outlet connector in a firstposition relative to the cable housing according to an example of thepresent technology.

FIG. 8h shows a perspective view of a cable housing with a swivellingdisc, a cable, and a substructure of an outlet connector in a secondposition relative to the cable housing according to an example of thepresent technology.

FIG. 8i Shows a top view of a cable housing according to an example ofthe present technology.

FIG. 9a shows a perspective view of a swivelling disc according to anexample of the present technology.

FIG. 9b shows a side view of a swivelling disc according to on exampleof the present technology.

FIG. 9c shows another side view of a swivelling disc according to anexample of the present technology.

FIG. 9d shows a bottom perspective view of a swivelling disc accordingto an example of the present technology.

FIG. 9e shows a bottom view of a swivelling disc according to an exampleof the present technology.

FIG. 10a shows a side view of an airflow tube according to an example ofthe present technology.

FIG. 10b shows another side view of an airflow tube according to anexample of the present technology.

FIG. 10c shows another side view of an airflow tube according to anexample of the present technology.

FIG. 10d shows an exploded perspective view of an airflow tube accordingto an example of the present, technology.

FIG. 11a shows a side view of a cable housing according to an example ofthe present technology.

FIG. 11b shows a perspective view of a cable housing according to anexample of the present technology.

FIG. 11c shows a top view of a cable housing according to an example ofthe present technology.

FIG. 11d shows another side view of a cable housing according to anexample of the present technology.

FIG. 12a shows a bottom perspective view of an air circuit comprising anoutlet connector and a tube connected to a cable housing and an airflowtube according to an example of the present technology.

FIG. 12b shows a bottom view of an air circuit comprising an outletconnector and a tube connected to a cable housing and an airflow lubeaccording to an example of the present technology.

FIG. 12c shows an end view of an air circuit comprising an outletconnector and a tube connected to a cable housing and an airflow tubeaccording to an example of, the present technology.

FIG. 12d shows a side view of an air circuit comprising an outletconnector and a tube connected to a cable housing and an airflow tubeaccording to an example of the present technology.

FIG. 12e shows a partially exploded perspective view of an air circuitcomprising an outlet connector and a tube connected to a cable housingand an airflow tube according to an example of the present technology.

FIG. 12f shows a perspective view of an air circuit comprising an outletconnector and a tube connected to a cable housing and an airflow tubeaccording to an example of the present technology.

FIG. 13a shows a top view of an outlet connector connected to ahumidifier housing according to an example of the present technology.

FIG. 13b shows a side view of an outlet connector connected to ahumidifier housing according to an example of the present technology.

FIG. 13c shows another side view of an outlet connector connected to ahumidifier housing according to an example of the present technology.

FIG. 13d shows a perspective view of an outlet connector connected to ahumidifier housing according to an example of the present technology.

FIG. 13e shows a perspective view of an outlet connector detached from ahumidifier housing according to an example of the present technology.

FIG. 13f shows a perspective view of an outlet of a humidifier housingaccording to an example of the present technology.

FIG. 13g shows a front view of an outlet of a humidifier housingaccording to an example of the present technology.

FIG. 13h shows another perspective view of an outlet connector detachedfrom a humidifier housing according to ah example of the presenttechnology.

FIG. 13j Shows a perspective view of an outlet connector connected to ahumidifier housing according to an example of the present technology.

FIG. 13k shows a side view of an outlet connector according to anexample of the present technology.

FIG. 13l shows a top view of an outlet connector according (o an exampleof the present technology.

FIG. 13m shows another side view of an outlet connector according to anexample of the present technology.

FIG. 13n shows a perspective view of an outlet, assembly according to anexample of the present technology.

FIG. 14a shows a partially exploded perspective view of an air circuitcomprising an outlet connector and a tube, a swivelling disc, a cableand a cable housing according to an example of the present technology.

FIG. 14b shows another partially exploded perspective view of an aircircuit comprising an outlet connector and a tube, a swivelling disc,and a cable housing according to an example of the present technology.

FIG. 14c shows another partially exploded perspective view of an aircircuit comprising an outlet connector and a lube, a swivelling disc, acable and a cable housing according to an example of the presenttechnology.

FIG. 14d shows a perspective view of an air circuit comprising an outletconnector and a tube connected to a swivelling disc, a cable and a cablehousing according to an example of the present technology.

FIG. 14e shows a perspective view of a swivelling disc according 10 anexample of the present technology.

FIG. 14f shows a perspective view of a cable housing and a cableaccording to an example of, the present technology.

FIG. 14g shows a perspective view of an electrical connector detachedfrom an elbow according to an example of the present technology:

FIG. 14h shows a perspective view of an electrical connector connectedto an elbow according to an example of the present technology.

FIG. 14i shows a top perspective view of a tube and tube cuff accordingto an example of the present technology.

FIG. 14j shows a bottom perspective view of a tube and tube cuffaccording to an example of the present technology.

FIG. 15a shows a perspective view of a swivelling disc, a swivelelectrical connector, and a cable housing assembled together accordingto an example of the present technology.

FIG. 15b shows a side view of an air circuit comprising an outletconnector and a tube detached from a swivelling disc, a swivelelectrical connector, and a cable housing according to an example of thepresent technology.

FIG. 16a shows a side view of an air circuit comprising an outletconnector and a tube detached from a swivelling disc, and a cablehousing according to an example of the present technology.

FIG. 16b shows a top perspective view of a cable housing and aswivelling disc according to an example of the present technology.

FIG. 17 shows a cross-sectional view of an air circuit comprising anoutlet connector and a tube with mold tools according to an example ofthe present technology.

FIG. 18a shows a perspective view of a female electrical connectoraccording to an example of the present technology.

FIG. 18b shows a side view of a female electrical connector according toan example of the present technology.

FIG. 18c shows a rear view of a female electrical, connector accordingto an example of the present technology.

FIG. 18d shows a perspective view of a female electrical connectoraccording to an example of the present technology.

FIG. 18e shows a front-on view of a female electrical connectoraccording to an example of the present technology, indicating the crosssection taken for FIG. 18 f.

FIG. 18f shows a side cross-sectional view of a female electricalconnector according to an example of the present technology.

FIG. 18g shows a rear perspective view of an electrical connectorreceiver contact element according to an example of the presenttechnology.

FIG. 18h shows a front perspective view of an electrical connectorreceiver contact element according to an example of the presenttechnology.

FIG. 19a shows an exploded bottom perspective view of a portion of a RPTdevice/humidifier and an airflow tube according to an example of thepresent technology.

FIG. 19b shows a bottom perspective view of a portion of a RPTdevice/humidifier and an airflow tube according to an example of thepresent technology.

FIG. 19c shows an exploded rear perspective view of a portion of a RPTdevice/humidifier and an airflow lube according to an example of thepresent technology.

FIG. 19d shows a rear perspective view of a portion of a RPTdevice/humidifier and an airflow tube according to an example of thepresent technology.

FIG. 19e shows a rear perspective view of a portion of a RPTdevice/humidifier, an airflow tube and a cable housing according to anexample of the present technology.

FIG. 20a shows an exploded rear perspective view of a RPTdevice/humidifier and an airflow tube according to an example of thepresent technology.

FIG. 20b shows a rear perspective view of a RPT device/humidifier and anairflow tube according to an example of the present technology.

FIG. 21a shows a top view of an outlet assembly according to an exampleof the present technology.

FIG. 21b shows a cross-sectional view of the outlet assembly of FIG. 21ataken through line 21 b-21 b according to an example of the presenttechnology.

FIG. 21c shows a cross-sectional view of the outlet assembly of FIG. 21ataken through line 21 c-21 c according to an example of the presenttechnology.

FIG. 22a shows a front perspective view of a substructure assembly of anoutlet connector according to an example of the present technology.

FIG. 22b shows a rear perspective view of a substructure assembly of anoutlet connector according to an example of the present technology.

FIG. 22c shows another front perspective view of a substructure assemblyof an outlet connector according to another example of the presenttechnology.

FIG. 22d shows a side view of a substructure assembly of an outletconnector according to an example of the present technology.

FIG. 22e shows another side view of a substructure assembly of an outletconnector according to an example of the present technology.

FIG. 22f shows a lop view of a substructure assembly of an outletconnector according to an example of the present technology.

FIG. 22g shows an exploded front perspective view of a substructureassembly of an outlet connector according to an example of the presenttechnology.

FIG. 22h shows a partially exploded rear perspective view of asubstructure assembly of an outlet connector according to an example ofthe present technology.

FIG. 23a shows a front perspective view of a substructure assembly of anoutlet connector without electrical connectors according to an exampleof the present technology.

FIG. 23b shows another front perspective view of a substructure assemblyof an outlet connector without electrical connectors according to anexample of the present technology.

FIG. 23c shows a rear perspective view of a substructure assembly of anoutlet connector without electrical connectors according to an exampleof the present technology.

FIG. 23d shows a side view of a substructure assembly of an outletconnector without electrical connectors according to an example of thepresent technology.

FIG. 23e shows a top view of a substructure assembly of an outletconnector without electrical connectors according to an example of thepresent technology.

FIG. 23f shows another side view of a substructure assembly of an outletconnector without electrical connectors according to an example of thepresent technology.

FIG. 24 shows a cap for a substructure assembly of an outlet connectoraccording to an example of the present technology.

FIG. 25a shows unformed electrical connectors for an outlet connectoraccording to an example of the present technology.

FIG. 25b shows formed electrical connectors for an outlet connectoraccording to an example of the present technology.

FIG. 26a shows a cross-sectional view an outlet end of an outletconnector joined to a respiratory apparatus according to an example ofthe present technology.

FIG. 26b shows a detailed cross-sectional view an outlet end of anoutlet connector joined to a respiratory apparatus according to anexample of the present technology.

FIG. 27a shows a cross-sectional view an outlet end of an outletconnector joined to a respiratory apparatus according to an example ofthe present technology.

FIG. 27b shows a cross-sectional view an outlet end of an outletconnector joined to a respiratory apparatus according to an example ofthe present technology.

FIG. 27c shows a detailed cross-sectional view an outlet end of anoutlet connector joined to a respiratory apparatus according to anexample of the present technology.

FIG. 28a shows a cross-sectional view an outlet end of an outletconnector joined to a respiratory apparatus according to an example ofthe present technology.

FIG. 28b shows a cross-sectional view an outlet end of an outletconnector joined to a respiratory apparatus according to an example ofthe present technology.

FIG. 28c shows a detailed cross-sectional view an outlet end of anoutlet connector joined to a respiratory apparatus according to anexample of the present technology.

FIG. 29a shows a cross-sectional view an outlet end of an outletconnector being joined to a respiratory apparatus according to anexample of the present technology.

FIG. 29b shows a cross-sectional view an outlet end of an outletconnector after being joined to a respiratory apparatus according to anexample of the present technology.

FIG. 30a shows a front perspective view of a substructure assembly of anoutlet connector according to an example of the present technology.

FIG. 30b shows an exploded front perspective view of a substructureassembly of an outlet connector according to an example of the presenttechnology.

FIG. 30c shows a perspective view of a substructure assembly of anoutlet connector joined to a tube portion according to an example of thepresent technology.

FIG. 30d shows a partially exploded perspective view of a substructureassembly of an outlet connector joined to a tube portion according to anexample of the present technology.

FIG. 30e shows a perspective view of an outlet connector joined to atube portion according to an example of the present technology.

FIG. 30f shows a cross-sectional view of a substructure assembly of anoutlet connector joined to a tube portion according to an example of thepresent technology.

FIG. 30g shows a partially exploded, bottom perspective view of asubstructure assembly of an outlet connector joined to a tube portionaccording to an example of the present technology.

FIG. 30h shows a partially exploded bottom perspective view of asubstructure assembly of an outlet connector joined to a tube portionaccording to an example of the present technology.

FIG. 30i shows another partially exploded bottom perspective view of asubstructure assembly of an outlet connector joined to a tube portionaccording to an example of the present technology.

6 (E) DETAILED DESCRIPTION OF EXAMPLES OF THE TECHNOLOGY

Before the present technology is described in further detail, it is tobe understood that the technology is not limited to the particularexamples described herein, which may vary. It is also to be understoodthat the terminology used in this disclosure is for the purpose ofdescribing only the particular examples discussed herein, and is notintended to be limiting.

The following description is provided in relation to various exampleswhich may share one or more common characteristics and/or features. Itis to be understood that one or more features of any one example may becombinable with one or more features of another example or otherexamples. In addition, any single feature or combination of features inany of the examples may constitute a further example.

6.1 Therapy Systems

In one form, the present technology comprises a respiratory therapysystem for treating a respiratory disorder. The respiratory therapysystem may comprise a RPT device 4000 for supplying a flow of breathablegas, such as air, to the patient 1000 via an air circuit 4100 leading toa patient interface 3000. In some forms, the respiratory therapy systemmay further comprise a humidifier 5000 configured to humidify the flowof air relative to the ambient.

6.2 Therapy

In one form, the present technology comprises a method for treating arespiratory disorder comprising the step of applying positive pressureto the entrance of the airways of a patient 1000.

In one form, the present technology comprises a method of treatingObstructive Sleep Apnea in a patient, by applying nasal continuouspositive airway pressure to the patient.

In certain examples of the present technology, a supply of air atpositive pressure is provided to the nasal passages of the patient viaone or both nares.

In certain examples of the present technology, mouth breathing islimited, restricted or prevented.

6.3 Patient Interface 3000

A non-invasive patient interface 3000 in accordance with one aspect ofthe present technology comprises the following functional aspects: aseal-forming structure 3100, a plenum chamber 3200, a positioning andstabilising structure 3300 and a connection port 3600 for connection toair circuit 4100. For example, see FIG. 2e . In some forms a functionalaspect may be provided by one or more physical components. In someforms, one physical component may provide one or more functionalaspects. In use the seal-forming structure is arranged to surround anentrance to the airways of the patient so as to facilitate the supply ofair at positive pressure to the airways.

6.3.1 Seal-Forming Structure

In one form of the present technology, a seal-forming structure 3100provides a scaling-forming surface, and may additionally provide acushioning function.

A seal-forming structure in accordance with the present technology maybe constructed from a soft, flexible, resilient material such assilicone.

In one form, the seal-forming structure comprises a scaling flange and asupport, flange. The sealing flange may comprise a relatively thinmember with a thickness of less than about 1 mm, for example about 0.15mm to about 0.45 mm, that extends around, the perimeter of the plenumchamber. A support flange may be relatively thicker than the sealingflange. The support flange is disposed between the sealing flange andthe marginal edge of the plenum chamber, and extends at least part ofthe way around the perimeter. The support flange is or includes aspring-like element and functions to support the scaling flange frombuckling in use. In use the sealing flange can readily respond to systempressure in the plenum chamber acting on its underside to urge it intotight scaling engagement with the face.

In another form, the seal-forming portion of the non-invasive patientinterface 3000 comprises a pair of nasal puffs, or nasal pillows, eachnasal puff or nasal pillow being constructed and arranged to form a sealwith a respective naris of the nose of a patient.

Nasal pillows in accordance with an aspect of the present technologyinclude: a frusto-conc. at least a portion of which forms a seal on anunderside of the patient's nose; a stalk, a flexible region on theunderside of the cone and connecting the cone to the stalk. In addition,the structure to which the nasal pillow of the present technology isconnected includes a flexible region adjacent the base of the stalk. Theflexible regions can act in concert to facilitate a universal jointstructure that is accommodating of relative movement—both displacementand angular—of the frusto-cone and the structure to which the nasalpillow is connected. For example, the frusto-cone may be axiallydisplaced towards the structure to which the stalk is connected.

In one form the non-Invasive patient interface 3000 comprises aseal-forming portion that forms a seal in use on an upper lip region(that is, the lip superior) of the patient's face.

In one form the non-invasive patient interface 3000 comprises aseal-forming portion that forms a seal in use on a chin-region of thepatient's face.

6.3.2 Plenum Chamber

The plenum chamber 3200 may have a perimeter that is shaped to becomplementary to the surface contour of the face of an average person inthe region where a seal will form in rise. In use, a marginal edge ofthe plenum chamber is positioned in close proximity to an adjacentsurface of the face. Actual contact with the face is provided by theseal-forming structure. The seal-forming structure may extend in useabout the entire perimeter of the plenum chamber.

6.3.3 Positioning and Stabilising Structure

The seal-forming portion of the patient interface 3000 of the presenttechnology may be held in sealing position in use by the positioning andstabilising structure 3300, for example a headgear system or strap.

6.3.4 Vent

In one form, the patient interface 3000 may include a vent 3400constructed and arranged to allow for the washout of exhaled carbondioxide.

One form of the vent 3400 in accordance with the present technologycomprises a plurality of holes, for example, about 20 to about 80 holes,or about 40 to about 60 holes, or about 45 to about 55 holes.

The vent 3400 may be located in the plenum chamber 3200. Alternatively,the vent may be located in a decoupling structure, e.g. a swivel or balland socket.

6.3.5 Other Patient Interface Components

The patient interface 3000 may include one or more of the followingadditional components:

-   -   (i) a forehead support 3700 that assists with supporting the        patient interface on the face;    -   (ii) an anti-asphyxia valve to allow a patient 1000 in receive        fresh air into the patient interface 3000 if required; and    -   (iii) one or more ports (e.g. connection port 3600) to allow        access to the volume within the plenum chamber. In one form this        allows a clinician to supply supplemental oxygen. In one form,        this allows for the direct measurement of a property of gases        within the plenum chamber, such as the pressure.

6.4 RPT Device 4000

A RPT device 4000 in accordance with one aspect of the presenttechnology (see FIG. 3a ) comprises mechanical and pneumatic components4300, electrical components 4200 and is programmed to execute one ormore algorithms. An exemplary RPT device has an external housing 4010,formed in two parts, an upper portion 4012 and a lower portion 4014.Furthermore, the external housing 4010 may include one or more panel(s)4015. The RPT device 4000 may comprise a chassis 4016 that supports oneor more internal components of the RPT device 4000. In one form apneumatic block 4020 is supported by, or formed as part of the chassis4016. The RPT device 4000 may include a handle 4018. Another example ofan RPT device 4000 including an integrated humidifier 5000 is shown inFIGS. 3b -3 d.

The pneumatic path of the RPT device 4000 (e.g. shown in FIG. 3c ) maycomprise an inlet air filter 4312, an inlet muffler 4322, a controllablepressure device 4340 capable of supplying air at positive pressure(e.g., a blower 4342), and an outlet muffler 4324. One or more pressuretransducers and flow transducers may be included in the pneumatic path.

A pneumatic block 4020 houses at least the controllable pressure device4340 (e.g. blower 4342). The pneumatic block may comprise a portion ofthe pneumatic path that is located within the external housing 4010. Inone form, the chassis 4016 may form a part of the pneumatic block 4020as shown in FIG. 3a In another form, the chassis 4016 may support thepneumatic block 4020 without forming apart thereof as shown in FIG. 3 b.

The RPT device 4000 may have an electrical power supply 4210, one ormore input devices 4220, a central controller 4230, a therapy devicecontroller 4240, a pressure device, one or more protection circuits,memory, transducers 4270, data communication interface and one or moreoutput devices. Electrical components 4200 may be mounted on a singlePrinted Circuit Board Assembly (PCBA) 4202. In an alternative form, theRPT device 4000 may include more than one PCBA 4202.

The central controller of the RPT device 4000 may be programmed toexecute one or more algorithm modules, including a pre-processingmodule, a therapy engine module, a pressure control module, and furthera fault condition module.

6.4.1 RPT Device Mechanical & Pneumatic Components 4300

6.4.1.1 Air Filter(s) 4310

A RPT device in accordance with one form of the present technology mayinclude an air filter 4310 or a plurality of air filters 4310.

In one form, an inlet air filter 4312 is located at the beginning of thepneumatic path upstream of a blower 4342. See FIG. 3 e.

In one form, an outlet air filter 4314, for example an antibacterialfilter, is located between an outlet of the pneumatic block 4020 and apatient interface 3000. See FIG. 3 e.

6.4.1.2 Muffler(s) 4320

In one form of the present technology, an inlet muffler 4322 is locatedin the pneumatic path upstream of a blower 4342. Sec FIG. 3 e.

In one form of the present technology, an outlet muffler 4324 is locatedin the pneumatic path between the blower 4342 and a patient interface3000. See FIG. 3 c.

6.4.1.3 Pressure Device 4340

In a form of the present technology, a pressure device 4340 (alsoreferred to as a pressure generator) for producing a flow of air atpositive pressure is a controllable blower 4342. For example, the blowermay include a brush less DC motor 4344 with one or more impellers housedin a volute. The blower may be capable of delivering a supply of air,for example about 120 litres/minute, at a positive pressure in a rangefrom about 4 cmH₂O to about 20 cmH₂O, or in other forms up to about 30cmH₂O.

The pressure device 4340 is under the control of the therapy devicecontroller 4240.

6.4.1.4 Transducer(s) 4270

One or more transducers 4270 may be constructed and arranged to measureproperties of the air at one or more predetermined points in thepneumatic path, or of the ambient air.

In one form of the present technology, one or more transducers 4270 arelocated downstream of the pressure device 4340, and upstream of the aircircuit 4100. In one form of the present technology, one or moretransducers 4270 are located upstream of the pressure device 4340.

In one form of the present technology, one or more transducers 4270 arelocated proximate to the patient interface 3000.

6.4.1.5 Anti-Spill Back Valve 4360

In one form of the present technology, an anti-spill back valve islocated between the humidifier 5000 and the pneumatic block 4020. Theanti-spill back valve is constructed and arranged to reduce the riskthat water will flow upstream from the humidifier 5000, for example tothe motor 4344.

6.4.1.6 Air Circuit 4100

An air circuit 4100 in accordance with an aspect of the presenttechnology is constructed and arranged to allow a flow of air orbreathable gasses between the pneumatic block 4020 and the patientinterface 3000.

6.4.1.7 Oxygen Delivery 4380

In one form of the present technology, supplemental oxygen 4380 isdelivered to a point in the pneumatic path.

In one form of the present technology, supplemental oxygen 4380 isdelivered upstream of the pneumatic block 4020:

In one form of the present technology, supplemental oxygen 4380 isdelivered to the air circuit 4100.

In one form of the present technology, supplemental oxygen 4380 isdelivered to the patient interface 3000.

6.4.2 RPT Device Electrical Components 4200

6.4.2.1 Power Supply 4210

Power supply 4210 supplies power to the other components of the basicRPT device 4000: the input device 4220, the central controller 4230, thepressure device 4340, and the output device 4290 (see FIG. 3f ).

In one form of the present technology, power supply 4210 is internal ofthe external housing 4010 of the RPT device 4000. In another form of thepresent technology, power supply 4210 is external of the externalhousing 4010 of the RPT device 4000.

6.4.2.2 Input Device(s) 4220

Input device 4220 comprises buttons, switches or dials to allow a personto interact with the RPT device 4000. The buttons, switches or dials maybe physical devices, or software devices accessible via a touch screen.The buttons, switches or dials may, in one form, be physically connectedto the external housing 4010, or may, in another form, be in wirelesscommunication with a receiver that is in electrical connection to thecentral controller.

In one form, the input device 4220 may be constructed and arranged toallow a person to select a value and/or a menu option.

6.4.2.3 Central Controller 4230

In one form of the present technology, the central controller 4230 isone or a plurality of processors suitable to control an RPT device 4000.The central controller 4230 may be configured to receive input signal(s)from the input device 4220, and to provide output signal(s) to theoutput device 4290 and/or the therapy device controller 4240

Suitable processors may include an x86 INTEL processor, a processorbased on ARM Cortex-M processor from ARM Holdings such as an STM32series microcontroller from ST MICROELECTRONIC. In certain alternativeforms of the present technology, a 32-bit RISC CPU, such as an STR9series microcontroller from ST MICROELECTRONICS or a 16-bit RISC CPUsuch as a processor from the MSP430 family of microcontrollers,manufactured by TEXAS INSTRUMENTS may also be suitable.

In one form of the present technology, the central controller 4230 is adedicated electronic circuit.

In one form, the central controller 4230 is an application-specificintegrated circuit. In another form, the central controller 4230comprises discrete electronic components.

6.4.2.4 Output Device 4290

An output device 4290 in accordance with, the present technology maytake the form of one or more of a visual, audio, and haptic output. Avisual output may be a Liquid Crystal Display (LCD) or Light EmittingDiode (LED) display. An audio output may be a speaker or audio toneemitter.

6.5 Humidifier 5000

6.5.1 Humidifier Overview

In one form of the present technology there is provided a humidifier5000 to change the absolute humidity of air for delivery to a patientrelative to ambient air. Typically, the humidifier 5000 is used toincrease the absolute humidity and increase the temperature of the flowof air relative to ambient air before delivery to the patient's airways.The humidifier 5000 typically comprises an inlet to receive a flow ofair, and an outlet to deliver the flow of air with added humidity.

In one form, a humidifier 5000 may comprise a humidifier reservoir 5180,a heating element 5240 and one or more transducers. The humidifier 5000may be configured to receive a flow of air from a RPT device and delivera flow of humidified air to a patient interface 3000 for example via anair circuit 4100. The air circuit 4100 may be coupled to the humidifier5000 through an outlet, such as the humidifier reservoir outlet 5182 asshown in FIG. 3g and FIG. 3 h.

As described above, the humidifier 5000 may deliver a pressurised flowof air to the patient 1000 with sufficient humidity to prevent drying ofthe mucosa and increase patient airway comfort. At the same time, thehumidifier 5000 and the air circuit 4100 is configured to preventoccurrence of any condensation, especially in the air circuit 4100. Tothis end, the air circuit 4100 may be provided with a heating element aswill be described in greater detail below. The humidifier 5000 and theair circuit 4100 may be further configured to allow the patient 1000 toarrange the air circuit 4100 to improve their sleeping comfort. Further,the humidifier 5000 and the air circuit 4100 are configured to allowcleaning of the air circuit 4100 and/or the humidifier 5000, and toprevent ingress of water into any electronic components, such as in thehumidifier 5000, the air circuit 4100 or the RPT device 4000.

An example of a humidifier 5000 which is integrated with an RPT device4000 is shown in FIGS. 3b-3d . Another example of a humidifier 5000 isshown, in FIGS. 3g -3 h.

6.6 Air Circuit-Outlet Connection

6.6.1 Connection Overview

As described in some detail above, a respiratory therapy system mayinclude certain components such as a RPT device 4000, a humidifier 5000,and a patient interface 3000. The RPT device 4000 and humidifier 5000may be combined into a single, integrated unit as shown in FIG. 3b-3d .Alternatively, the RPT device 4000 and the humidifier 5000 may beseparable such that the patient can use the RPT device without thehumidifier. In either scenario a connection must be made to the patientinterface 3000 so that the patient can receive the flow of gas from theRPT device 4000 and/or the humidifier 5000. An air circuit 4100, asdescribed above, may be provided to pneumatically connect the patientinterface 3000 to the RPT device 4000 and/or the humidifier 5000. Asshown in FIG. 4a , the air circuit 4100 may include a tube portion 4102and an outlet connector 4106 to connect the air circuit to the RPTdevice 4000 and/or the humidifier 5000. The tube portion 4102 may alsoinclude a helical coil 4103 to provide support for the tube portion. Theair circuit 4100 may also incorporate a heating element, which may beprovided within the helical coil 4103. The heating element in the aircircuit 4100 may heat the air circuit 4100 and the flow of gastravelling therethrough in order to prevent rainout (condensation ofwater vapor, for example, within the tube portion 4102 or the patientinterface 3000). When a heating element is provided in the helical coil4103 electrical power and/or signalling may be necessary if, forexample, the heating element is an electrical resistance heater. In someinstances, an electrical connection may be required between the patientinterface 3000 and the RPT device 4000 and/or the humidifier 5000 forelectrical power and/or communication therebetween.

FIG. 20a and FIG. 20b show an example of the RPT device 4000 and ahumidifier 5000 that has been combined into a single, integrated unit,wherein a water reservoir is not shown. FIG. 20a shows an air circuit4100 separated from the RPT device 4000 in an exploded view, and FIG.20b shows the air circuit 4100 assembled with the RPT device 4000.

6.6.1.1 Pneumatic and Electrical Connections with a Single Connector

The air circuit 4100 may require both pneumatic and electricalconnections to be formed to the humidifier 5000 (or the RPT device4000), as well as a mechanical connection. These connections may beformed through the outlet connector 4106 to allow the pressurized gas toflow to the patient interface 3000, to provide electrical power andsignalling to the heating element in the helical coil 4103 and to locateand secure the air circuit 4100 relative to the humidifier 5000 (or theRPT device 4000). These connections may be formed simultaneously or inseries such that one of the mechanical, pneumatic or electricalconnections is completed before others. The air circuit 4100 maycomprise on another end a patient interface connector 4107 to couple toa patient interface 3000. In some forms, the patient interface connector4107 may be different to the outlet connector 4106 as shown in FIGS. 4g-4 h.

FIGS. 4a-h and 5a-i depict air circuits or portions thereof according toexamples of the present technology. FIGS. 12a-f also depict exemplaryair circuits that are connected to an outlet assembly 5107. As can beseen in FIG. 4a , for example a tube portion 4102 having a helical coil4103 may be connected to an outlet connector 4106. As shown in FIG. 5athe connection of the helical coil 4103 to the outlet connector 4106 maybe facilitated by the use of a grommet 4104. The helical coil 4103, asdiscussed above, may include, a heating element and it may also functionas a support structure for the tube portion 4102. An electricalconnection may be formed by inserting the outlet connector 4106 on theoutlet assembly 5107 (to be discussed in greater detail below) so thatan electrical connector 4112 comes into electrical contact withelectrical components of the outlet assembly. As can be seen in FIGS.4c-d , the electrical connector 4112 may be oriented parallel a centreaxis of the outlet connection region 4114 and extend downward from anunderside of the outlet connector 4106 and out from an opening 4118.

6.6.1.1.1 Formation of Pneumatic and Electrical Connections

A recess 4116 may also be formed on the outlet connector 4106, therecess 4116 being configured to couple to an electrical connectorreceiver 5114 of a swivelling disc 5104 (see FIG. 8d and furtherdiscussion below) to aid in releasably securing the outlet connector4106 to the humidifier 5000, for example at the outlet assembly 5107.The recess 4116 may also provide a visual aid to the patient to locatethe outlet connector 4106 in relation to the outlet assembly 5107 bybeing shaped to correspond to the electrical, connector receiver 5114(see FIG. 12e ). The electrical connector receiver 5114 may house afemale electrical connector 5158 such as that shown in FIGS. 18a-18h .The outlet connector 4106 may also include an actuator 4108 thatcontrols a retention feature 4110. When the outlet connector is insertedonto the outlet assembly 5107, the retention feature 4110 may engagewith a corresponding notch 5126 of the swivelling disc 5104 (see FIG.21b and further discussion below). The actuator 4108 in conjunction withthe notch 5126 may produce an audible sound and/or provide tactilefeedback at the actuator 4108 upon engagement. The actuator 4108 and/orthe retention feature 4110 may be produced with higher wearcharacteristics than the swivelling disc 5104 to allow wear to occur onthe air circuit 4100, which is typically a consumable component. Thismay be achieved by use of a material with lower hardness to form theretention feature 4110 compared to the material from which theswivelling disc 5104 is formed. The retention feature 4110 and notch5126 may engage by a snap-fit and the actuator 4108 may be depressibleto bring in the retention feature to release it from the notch 5126. Insome cases, the retention feature 4110 and the notch 5126 may beconfigured so that when they are not completely engaged, they may beforced into place at commencement of therapy by the therapy pressure,for example by being configured so that the therapy pressure acting onthe tab 4148 urges the retention feature 4110 towards the notch 5126. Asshown in FIG. 6a , the actuator 4108 and the retention feature 4110 mayboth be located on a tab 4148 such that pushing the actuator inward alsocauses the retention feature to be moved inward, thereby freeing it fromthe notch 5126. In one form, the actuator 4108 may be located furtherfrom a pivot of the tab 4148 than the retention feature 4110, whichwould impart a mechanical advantage to the user and increase the travel,required to depress the actuator 4108 to improve the resolution ofmovement of the retention feature 4110 to the user. This arrangement mayfurther improve the feedback provided to the user duringengagement/disengagement of the outlet connector 4106. An outletconnection region 4114 may be shaped to correspond with the shape of theswivelling disc 5104, as shown in FIG. 9a , for example.

As shown in FIGS. 6h and 6g , a travel stop 4178 located at the innerends of the ribs 4120 may be used in some examples of this technology inorder to limit the travel, or level of squeezing, of the actuator 4108during insertion and removal to prevent plastic deformation of thesurrounding portions and/or to prevent tear of the housing 4134. Thetravel stops 4178 extend from the inner ends of the ribs 4120 and arealigned with the inner surface of the outlet connector 4106 in thelocation of the actuator 4108. When the actuator is squeezed or pushedinwards the inner surface of the outlet connector 4106 iscorrespondingly squeezed or pushed inwards until it contacts the travelstop 4178. The travel stop prevents further squeezing or pushing of theactuator.

In a further example of the technology, the notch may be replaced with aradial slot that is capable of retaining the outlet connector via theretention feature(s) but allowing rotation thereof. In such an examplethe swivelling disc may be fixed relative to the outlet housing or itmay be eliminated completely such that the radial slot is located on thehousing. Furthermore, it should be understood that such examples wouldretain the need for a movable electrical connector within the outletassembly such that the electrical connection may be maintained while theoutlet connector rotates.

FIGS. 4c and 4f show detailed bottom views of examples of the outletconnector 4106 and specifically the outlet connection region 4114. FIG.4c shows the outlet connector 4106 connected at the outlet connectionregion 4114 to an outlet end 5134 of an airflow tube 5130 (shown inFIGS. 10a-d and discussed further below). The airflow tube 5130 may beformed as a multiple patient/multiple user (MPMU) tube that isremovable, replaceable and/or cleanable. It should be noted that for thesake of clarity the outlet end 5134 is shown in this view and referenceshould be made to FIGS. 10a-d for further depiction. The airflow tube5130 may function as a removable intermediate pneumatic coupling betweenthe outlet connector 4106 of the air circuit 4100 and the air outlet ofRPT device 4000 and/or the humidifier 5000.

6.6.1.1.2 Internal Ribs of the Outlet Connector 4106

FIG. 4c shows a plurality of ribs 4120 disposed around the innerperiphery of the outlet connection region 4114 of the outlet connector4106. In the illustrated example four ribs 4120 are shown but adifferent number of ribs such as two, three, five or more ribs may beutilised. The ribs 4120 may function to support and position the outletconnector 4106 relative to the outlet end 5134 of the airflow tube 5130.The ribs 4120 may function to guide the outlet connector 4106 duringinsertion to couple to the outlet end 5134 of the airflow lube 5130 inthe outlet assembly 5107 to form the pneumatic connection. This guidancemay also assist in aligning the outlet connection region 4114 tofacilitate the electrical connection between the electrical connector4112 and the electrical connector receiver 5114 on the swivelling disc5104 of the outlet assembly 5107. To this arrangement, although a singleaction is required for insertion or connection of the air circuit outletconnector 4106 to the RPT device outlet assembly 5107, the pneumaticconnection is formed first and the electrical connection is formedsecond. The outlet connector 4106, the outlet assembly 5107 and theairflow tube 5130 may be configured such that air flow tube 5130 engagesthe seal 4170 of the outlet connector 4106 prior to the electricalconnector receiver 5114 forming an electrical connection with theelectrical connector 4112. Accordingly, during removal or disconnection,the electrical connection is the first, to be disconnected and thepneumatic connection is disconnected second. This may be advantageous toensure that a, pneumatic seal is maintained from the RPT device 4000and/or the humidifier 5000 to the air circuit 4100 and, morespecifically, between the outlet connector 4106 and the airflow tube5130. Furthermore, this may provide improved safety, for examples ifsupplemental oxygen is added to the flow of air delivered by thehumidifier 5000, as this arrangement may prevent oxygen from beingexposed to connection and/or disconnection of the electricalconnections. FIG. 4f shows a similar view to FIG. 4e , however, theoutlet end 5134 of the airflow lube 5130 is not shown to provide aclearer depiction of an example of the ribs 4120. Both of these viewsalso show the profile of the recess 4116.

In some cases, a non-heated air circuit 4100 may be used that does notincorporate a heating element. Accordingly, the diameter of the centralopening in the swivelling disc 5104 may be arranged (e.g., sufficientlysized and/or shaped) to accept such a non-heated air circuit 4100.Accordingly, in one example of the current technology, the externaldiameter of the airflow tube may be approximately 22 mm to allowconnection to a standard 22 mm external diameter non-heated air circuit,and the external diameter of the outlet connector 4106 may beapproximately 36 mm. However, it is recognised that other externaldiameter sizes may be utilised.

Internal ribs 4120 may be used to reduce any radial gaps between theinterior of the outlet connection region 4114 and the airflow tube 5130.Still further, the ribs 4120 and the airflow tube 5130 may be configuredso that the gaps therebetween are relatively smaller than the gapbetween the exterior of the outlet connection region 4114 and theSwivelling disc 5104. This may allow more of the wear from rotation tooccur on the airflow tube 5130 in comparison to the swivelling disc5104, which may be advantageous as the airflow tube 5130 may be morereadily replaced than the swivelling disc 5104.

Another advantage of the ribs 4120 may be to allow a greater portion ofany mechanical load that may result from tilting and/or non-axialmovement to be transferred from the outlet connector 4106 to the airflowtube 5130. This may be advantageous in that this may help wear occur onthe consumable components such as the air circuit 4100 and/or theairflow tube 5130 than the non-consumable components of the humidifier5000, such as the swivelling disc 5104. Yet another advantage of theribs 4120 may be to maintain or restrict the deformation of the baseseal 4170 (as shown in FIG. 5e ) during engagement of the outletconnector 4106 with the outlet assembly 5107 by limiting the maximumaxial deformation that the base seal 4170 can undergo towards theinterior of the outlet connector 4106.

6.6.1.1.3 Electrical Connection

The electrical connector 4112 may include one or more lead-in features,such as chamfers, or curved radii on its edges on the leading surface inthe direction of insertion such as shown in FIG. 5c . This may assistinsertion of the electrical connector 4112 into the electrical connectorreceiver 5114 to provide a surface wipe connection and prevents damageto the conductors on the electrical connector 4112. The thickness of theelectrical leads 4128 on the electrical connector 4112 may beapproximately between 0.2 mm to 1.2 mm, for example 0.4 mm, 0.6 mm, 0.8mm or 1 mm. The thickness may vary according to a number of parameterssuch as the design life of the electrical connector 4112, materialchosen for the electrical leads 4128 and the material chosen for thereceiver contact elements 5146. One suitable example of material for theelectrical leads 4128 may be high temper phosphor bronze, that is nickelplated and then gold plated. In some circumstances, an increased amountof conductive material and/or high conductivity plating (such as goldand/or platinum) may be used on the electrical leads 4128. This may havethe advantage of improving wear characteristics and/or dissipating heatfrom the connector 4112. The electrical leads 4128 may have exposedconductive surfaces on the lower end of the electrical connector 4112 toensure full insertion is required to make the electrical connection.

Another feature provided by the connection of the electrical connector4112 to the electrical connector receiver 5114 on the swivelling disc5104 may be that when assembled together, the electrical connectorreceiver 5114 is covered by the outlet connector 4106 as shown in FIG.12e and FIG. 12f . FIG. 12c shows an exploded view wherein the outletconnector 4106 is shown above the swivelling disc 5104, and FIG. 12fshows the outlet connector 4106 in engagement with the swivelling disc5104. Discussed above was the shape of the recess 4116, as shown in FIG.4c , such that it may conform to the inward portion of the electricalconnector receiver 5114 depicted in FIG. 9a , for example. FIGS. 4c and4d also depict the region of the outlet connector 4106 that surroundsthe opening 4118 of the outlet connector where the electrical connector4112 (not shown in FIG. 4d ) is received. When the outlet connector 4106is inserted onto the swivelling disc 5104, as shown in FIGS. 12c and 12d, the region of the outlet connector that surrounds the electricalconnector 4112 may cover over the opening in the electrical connectorreceiver 5114 to prevent debris and contaminants (such as liquids) fromentering into the electrical connector receiver. As mentioned above, theconnector 4112 and the receiver 5114 are configured so that theelectrical connection between them is to be made after the outletconnector 4106 is mechanically engaged with the swivelling disc 5104.This reduces the proportion of any deformation or load from misalignmentbetween the outlet connector 4106 and the swivelling disc 5104 that issupported by the electrical connector 4112 and the receiver 5114. Thismay be achieved by configuring the outlet connector 4106 and theswivelling disc 5104 so that during insertion of the outlet connector4106 with the swivelling disc 5104, the airflow tube 5130 and the ribs4120 engage prior to engagement of the electrical connector 4112 and thereceiver 5114. This configuration may also be advantageous in caseswhere the gas provided via the air circuit 4100 includes supplementaryoxygen, as it may prevent occurrence of electrical arcing while thepneumatic circuit is not isolated.

A yet another feature of the current technology may be found in thearrangement of the receiver contact elements 5146 on the femaleelectrical connector 5158 in the electrical connector receiver 5114 asshown in FIG. 18a-18b . The electrical leads 4128 may engage thereceiver contact elements 5146 as the electrical connector 4112 isinserted into the receiver 5114 from the top of the connector TS. Thisengagement may occur via a sliding action in the direction of the arrowENG shown in FIG. 18a-18b . The receiver contact elements 5146 may beconfigured in a sloped, triangular profile as shown in FIG. 18b and/orto be compliant in a perpendicular direction PER to the sliding plane toassist in their engagement with the electrical leads 4128.

The aforementioned triangular profile and/or compliance may allowimproved engagement between the electrical leads 4128 on the connector4112 and the receiver contact elements 5146 as the connector 4112 isprogressively inserted into the electrical connector receiver 5114.During engagement with the connector 4112, as the connector 4112 slidesalong the length of the female electrical connector 5158 the contactelements 5146 may be depressed inwards and maintain contact to theelectrical leads 4128. This may allow improved accommodation ofmechanical tolerances from such sources as manufacturing variance orin-use deformation.

Still further, the receiver contact elements 5146 may be biased, so thatwhen deformed from its original configuration (as shown in FIG. 18b )and depressed inwards, the receiver contact elements 5146 may be biasedtowards returning to the undeformed position, thereby improving thefidelity of its connection with the electrical leads 4128. Anotheradvantage of such an arrangement of the female electrical connector 5158may be that it is self-cleaning. As the female electrical connector 5158and the connector 4112 may engage each other in a slide-on, slide-offaction, it may prevent build-up of contaminants which, if leftuncleaned, may affect the fidelity of the electrical connection formedbetween the two parts. Any contaminants that have been removed by thewiping action may be prevented from entering the air path, for exampleby swivel disc seal 5113. In addition when the female electricalconnector 5158 is arranged in a vertical position and the connection ismade in a vertical direction any contaminants that are wiped off theelectrical contacts will, fall down below the connector. A cavity may beformed below the female electrical connector 5158 within the receiver5114 into which the contaminants may collect. This cavity is not incommunication with the airpath.

FIG. 18c shows the surface of the female electrical connector 5158 thatmay be connected to the cable 5102. The connector comprises a pluralityof weld points 5150, 5152, 5154, for example there may be two weldpoints for each of the conductive tracks, which allows for improvedmechanical strength against load. The connector may also incorporate oneor more pegs, rivets or pins 5156 for alignment during assembly and/ormechanical bonding. Optionally the one or more pegs, rivets or pins 5156may be heal slaked to provide a mechanical restraint. In certainarrangements a washer or plate may be provided between the one or morepegs, rivets or pins 5156 and the cable to spread the mechanicalrestraint force over a larger surface of the connector.

FIGS. 18d-18f show another example of the female electrical connector5158, including another example of receiver contact elements 5146, shownin further detail in FIGS. 18g-18h . A feature of this example of thereceiver contact element 5146 is that a bifurcated retention feature5162 is formed from the base portion 5166 rather than the contactportion 5164 and/or the curved portion 5168. The receiver contactelements 5146 may be made from a material of high electrical and thermalconductivity with high strength and hardness, such as beryllium copper.

Having the exposed electrical connections on the outlet connector 4106of the air circuit 4100 provides additional electrical safety as the aircircuit docs not include a power supply but requires connection toswivelling disc 5104 on the RPT device 4000 and/or humidifier 5000 toreceive power. Also, the exposed electrical connections that may beexposed to cleaning processes are also on the replaceable air circuit4100 component.

6.6.1.2 Elbow Outlet Connector

By forming the outlet connector 4106 with an elbow, as can be seen inFIGS. 4a-b, 5a-f, and 12a-d , the chance that the air circuit 4100 isaccidentally or unintentionally pulled off of the RPT device 4000 and/orthe humidifier 5000 (e.g., by the patient tugging at the air circuit4100 during sleep by accident) may be reduced, because the direction ofthe tension farce vector of the air circuit will be located at an angle(e.g., perpendicular) to the direction of engagement of the air circuit4100 with RPT device 4000 and/or the humidifier 5000. Also, as shown inFIGS. 1a-c , the RPT device 4000 and/or the humidifier 5000 may belocated on a nightstand, for example, during treatment such that thepatient lying in bed is at substantially the same height as the RPTdevice and/or the humidifier. In such a situation, the inclusion of anelbow as part of the outlet connector 4106 may allow the air circuit4100 to be pointed more directly at the patient such that bend angles ofthe air circuit may be reduced, particularly at or near the elbow, whichin turn may reduce stress on the air circuit. In one example of thepresent technology, the outlet connector 4106 may include art elbowhaving an angle of about 90°. It should be understood, however, that anynumber of angles may be impossible, such as for example between 0° and120°, including 20°, 40°, 60°, 80° or 100°. The choice of this angle maybe affected by any number of design requirements such as flow impedance,convenience, location of the outlet connector 4106 or noiseimplications.

6.6.1.3 Rotatable Outlet Connector

As the patient may move during treatment, thus pulling the air circuit4100, it may be advantageous to further reduce the bend angles of theair circuit and reduce stress on the assembly, in particular the aircircuit, as well as the connection thereto from the outlet connector4106. This may be accomplished by allowing the outlet connector 4106 torotate relative to the RPT device 4000 and/or the humidifier 5000 whilethe mechanical, pneumatic and electrical connections are maintained.

As described above, the air circuit 4100 may be connected to the RPTdevice 4000 and/or the humidifier 5000 by inserting the outlet connector4106 onto the outlet assembly 5107, as shown in FIGS. 12a-d Rotatabilitymay be provided by features shown in FIGS. 8a-h, 9a-c, 11a-d, 12a-d, and21a -e.

FIGS. 8a, 8b, 8d-h . 9 a-c, 21 a-c show various views of the swivellingdisc 5104 according to various examples of the technology. It has beendescribed above that the swivelling disc 5104 may be the component thatreceives the outlet connector 4106 when connecting the air circuit 4100to the RPT device 4000 and/or the humidifier 5000. The swivelling disc5104 may also provide rotatability (e.g., for the outlet connector 4106)relative to the RPT device and/or the humidifier while maintaining thepneumatic and the electrical connections.

FIGS. 8a and 9a-c show views of swivelling disc 5104 according toexamples of the present technology. FIG. 8a shows a perspective view ofthe bottom of the exemplary swivelling disc 5104. In other words, thisview depicts features of the swivelling disc 5104 that are locatedopposite the side, to which the outlet connector 4106 may connect. Acable 5102, to be discussed in greater detail below, can be seenextending from an underside of the electrical connector receiver 5114.An end of the cable 5102 that is inside of the electrical connectorreceiver 5114 may be in electrical communication with the electricalconnector. 4112 when the outlet connector 4106 is inserted onto theswivelling disc 5104. The free end of the cable 5102 shown may be inelectrical communication with at least one electrical component 4200 ofthe RPT device 4000 and/or the humidifier 5000 (e.g., a controller,printed circuit board (PCB) and/or a power supply), for example atanother end of the cable 5102 (not shown). It should also be understoodthat the cable 5102 may be of any sufficient length to perform itsconnective function, as will be discussed in greater detail below.

A pair of disc stop surfaces 5108, 5110 on either side of and adjacentto the cable 5102 are shown in FIG. 8a . These disc stop surfaces 5108,5110 may limit rotation of the swivelling disc 5104 relative to a cablehousing 5100, as will be described in greater detail below. The exitflange 5109 around the cable 5102 also supports the cable 5102 as itextends through the outlet assembly 5107 from where it is connected tothe female electrical connector 5158 in the electrical connectorreceiver 5114. A flange 5112 may be disposed radially about theswivelling disc 5104 to perform sealing and/or cable 5102 containmentfunctions, as will be discussed in greater detail below as well. Thenotch 5126, of which there may be more than one, may also be seen.

FIGS. 9b-e show similar features to those described in relation to FIG.8a , but also show tangs 5128 that may allow the swivelling disc 5104 tobe snap-fit onto the cable housing 5100. The tangs 5128 may also retainthe swivelling disc 5104 on the cable housing 5100 while allowing it torotate relative thereto.

The swivelling disc 5104 may also incorporate a swivel disc seal 5113 asshown in FIG. 9a-9e that may comprise a compliant material such as TPE.The swivel disc seal 5113 may function to maintain a seal between theswivelling disc 5104 and the airflow tube 5130 to prevent anycontaminants from entering the air path.

As described above, the outlet connector 4106 may be releasably coupledto the swivelling disc 5104 by engagement of the retention features 4110in corresponding notches 5126 and by engagement of the recess 4116 ontothe electrical connector receiver 5114. When connected to the swivellingdisc 5104, the outlet connector 4106 may be able to rotate in unisonwith the swivelling disc and relative to the cable housing 5100.

FIGS. 21a-c show views of the swivelling disc 5104 joined to the cablehousing 5100. FIG. 21a shows a top view of an outlet assembly accordingto an example of the present technology. In FIGS. 21a-c the swivellingdisc 5104 may be in an intermediate rotational position relative to thecable housing 5100.

FIG. 21b shows a cross-section of the outlet assembly 5107 across thesymmetrical plane of the female electrical connector 5158 taken throughline 21 b-21 b of FIG. 21a . This example of the current technologyshows an internal shoulder 5160 that recesses the female electricalconnector 5158 from the opening of the electrical connector receiver5114, which may improve the electrical safety of the electricalconnector receiver 5114 when engaging with and/or disengaging from theconnector 4112. Recessed placement of the female electrical connector5158 from the opening of the electrical connector receiver 5114 may alsoprevent occurrence of any electrical arcing at or near an exposed area.The current arrangement of the female electrical connector 5158 and theelectrical connector receiver 5114 may also prevent any poweredcomponents from being touched by a user.

FIG. 21c shows another cross-sectional view of the outlet assembly 5107taken through line 21 c-21 c of FIG. 21a . Inner wall 5101 of theswivelling disc 5104 can be seen within the outer wall of the cablehousing 5100. The tabs 5106 of the Cable housing 5100 can also be seen.The flange 5112 of the swivelling disc 5104 can also be seen above theouter wall 5103 of the cable housing 5100.

6.6.1.3.1 Limited Rotation

Another feature of the present technology can be seen in FIGS. 8a and 8c. The disc stop surfaces 5108, 5110 (shown in FIG. 8a ), discussedabove, have a pair of complementary housing stop surfaces 5120, 5122(shown in FIG. 8c ) that may be located on an inner wall 5101 of thecable housing 5100. By connecting the swivelling disc 5104 to and withinthe inner wall 5101 of the cable housing 5100, for example as shown inFIGS. 8d-8f , the rotation of the swivelling disc 5104 relative to thecable housing 5100 may be limited by engagement of corresponding stopsurfaces at or near its extreme positions. Rotation of the swivellingdisc 5104, in one example of the technology, may be limited to less thanabout 360°. Rotation may also be limited to an amount that is greaterthan about 180°. In a further example, rotation may be limited to about270°. The desired range of rotation of the swivelling disc 5104 may bedetermined by a number of factors, such as the location of theswivelling disc 5104 with respect to the RPT device 4000 and/orhumidifier 5000, the elbow angle of the outlet connector 4106, andmaterial properties of the components.

The depicted examples show two pairs of complementary stop surfaces, asdiscussed above, that may represent opposite ends or surfaces of onestructure. It may be possible to have multiple stop structures formed onrespective components. For example, the stop surfaces on the inner wallof the housing may be provided with two separate protrusions thereon andlikewise for the swivelling disc. It is also envisioned that multipleconfigurations of stop surfaces may be provided on a single combinationof housing and swivelling disc such that, one combination may include anumber of available rotational limits.

FIG. 8d shows the swivelling disc 5104 rotated into one extreme positionin the counter-clockwise direction relative to the cable housing 5100.FIG. 8f shows the swivelling disc 5104 rotated into another extremeposition towards the other limit of travel in the clockwise directionrelative to the cable housing 5100. FIG. 8c shows the swivelling disc5104 in a position relative to the cable housing 5100 that is betweenthe extreme positions shown in FIGS. 8d and 8f . Although the swivellingdisc 5104 does not allow the slop surfaces 5108, 5110, 5120, 5122 to beseen in FIGS. 8d-f , it should be understood that when the swivellingdisc 5104 is in either extreme position shown in FIGS. 8d and 8f thatone of the disc stop surfaces 5108, 5110 is engaged and/or abuttedagainst a corresponding housing stop surface 5120, 5122.

FIGS. 8g and 8h also show examples of the swivelling disc 5104 rotatedinto clockwise and counter-clockwise extreme positions relative to thecable housing 5100. FIGS. 8g and 8h also show a substructure 4132 (shownin greater detail in FIGS. 6a-g and described further below) of theoutlet connector 4106 connected to the swivelling disc 5104. Theposition of the swivelling disc 5104 and the substructure 4132 in FIG.8g corresponds to the position shown in FIG. 8f and, likewise, FIG. 8hcorresponds to FIG. 8d While not visible in FIGS. 8g and 8h , it shouldbe understood that each tab 4148 includes a retention feature 4110 thatis engaged with a corresponding notch 5126 of the swivelling disc 5104to releasably connect the substructure to the swivelling disc so thatthey may rotate in unison relative to the cable housing 5100. It shouldalso be understood that FIGS. 8g and 8h depict possible extremepositions of the rotation of the substructure 4132 in this example byvirtue of the connection of the substructure to the swivelling disc5104.

6.6.1.4 Electrical Cable Connection

As discussed above, the cable 5102 may be provided to electricallyconnect the electrical connector 4112 to al least one electricalcomponent of the RPT device 4000 and/or the humidifier 5000. The cable5102 shown in FIGS. 8a-h may be a flexible circuit, board (FCB) or aribbon cable. The cable 5102 may also include multiple wires to providemultiple electrical connections for powering and signalling functions.The cable 5102 may be oriented such that the major or longer side isoriented in parallel to the axis of rotation of the swivelling disc. Ifan FCB is used as the cable 5102, it may be oriented so that the surfaceof the FCB where the conductive tracks are located is protected fromfrictional contact with the cable housing 5100 as it rotates with theswivelling disc 5104, in order to help prolong the life of the cable5102. Still further, the contacting surface (away front the conductivetracks) may comprise a low-friction surface so that when it slidesrelative to the cable housing 5100 the friction force created isminimised. This may have the effect of reducing the amount of wearoccurring on the cable 5102, as well as reducing the load imposed on thesolder/mounting joints between the cable 5102 and any electricalconnectors connected thereto, such as the female electrical connector5158. An example of such a low-friction surface may be a polyamidesubstrate.

6.6.1.4.1 Cable Management

In accordance with an example of the present, technology, the cable 5102may be fixed at one end to the electrical connector receiver 5114 of theswivelling disc 5104. Although not shown, it should be understood thatthe opposite end of the cable 5102 may be fixedly connected to at leastone electrical component 4200 of the RPT device 4000 and/or thehumidifier 5000 such as a PCB to provide power to the cable. Thus, thecable 5102 may have a fixed length between the connection to theswivelling disc 5104 and the connection to at least one electricalcomponent 4200 of the RPT device 4000 and/or the humidifier 5000.

The cable 5102, in an example of the present technology shown in FIGS.8d-h , may also include a slack portion that may be contained withineither an annular section 5174 between the inner wall 5101 and the outerwall 5103, or a recess or void 5124 defined, at least in part, by thecable housing 5100 depending upon the position of the swivelling disc5104. The flange 5112 of the swivelling disc 5104 may also contribute todefining the upper cover of the annular section 5174, however, theflange 5112 docs not contact the cable 5102 within, the annular section5174. The cable housing 5100 (see FIG. 8c ) may also include the innerwall 5101 and an outer wall 5103, both of which may further define thevoid 5124. The cable housing 5100 may also include a retainer 5118,which may help to maintain the cable 5102 in the proper orientation byreducing the chance of entanglement or pinching and to prevent the Slackportion from being pusher out of the cable housing 5100. The outerdiameter of the retainer 5118 may be designed to provide a minimumdiameter for bend of the cable 5102 without damaging the electricalelements of the cable 5102, for example an outer diameter ofapproximately 4 mm, 4.5 mm, 5 mm or some other outer diameter. It is tobe understood that the outer diameter size of the retainer 5118 may bevaried depending upon the size and type of cable used. As can be seen inFIG. 8c , the exemplary cable housing 5100 depleted may include anopening 5116 that may be formed in the shape of a slot and through whichthe cable 5102 may pass, while maintaining a substantially fixed lengthof the cable 5102 within the cable housing 5100.

The cable 5102 is at least partially wrapped around the inner wall 5101within the annular section 5174 when the swivelling disc is rotatedtowards the extreme position shown in FIG. 8f . The cable 5102 does notwrap around the swivelling disc 5104 but moves with the swivelling discwithin the annular section 5174 as the swivelling disc 5104 is rotated.

FIGS. 8d-i depict another feature of the depicted examples of thetechnology. As the swivelling disc 5104 is rotated between extremepositions the cable 5102 may be pushed and pulled between the void 5124and annular section 5174 of the cable housing 5100 due to its connectionto the swivelling disc. For example, when the swivelling disc 5104 isrotated from the position shown in FIG. 8d to the position shown in FIG.8e it can be seen that a portion of the cable 5102 is pulled out of thevoid 5124 and into the annular section 5174. It should be understoodthat the portion of the cable 5102 shown doubled back in the void 5124in FIG. 8d , for example, may be considered the slack portion. In otherwords, the slack portion may be the excess cable that represents alength of the cable beyond what is necessary for direct connection tothe swivelling disc 5104. Thus, as the swivelling disc 5104 is rotatedfrom the position shown in FIG. 8d to the position shown in FIG. 8e theslack portion may be progressively removed from the void 5124 so thatthe slack portion of the cable 5102 may be progressively pulled into theannular section 5174 and begin to wrap around the inner wall 5101 as thecable is pulled. As the swivelling disc 5104 is rotated further, fromthe position shown in FIG. 5c to the position shown in FIG. 5f , theportion of the cable 5102 that is pulled into the annular section 5174increases and the slack portion may be pulled completely or nearlycompletely from the void 5124. The recess or void 5124 and the annularsection 5174 may be form on opposing sides of the inner wall 5101.

Rotation of the swivelling disc 5104 in the opposite direction, from theposition in FIG. 8f to the position in FIG. 8e to the position in FIG.8d , may cause the cable 5102 to be progressively pushed from theannular section 5174 and unwrapped from around the inner wall 5101 suchthat the slack portion in the void 5124 may increase and begin to doubleback. In an example of the present technology, the maximum slack portionof the cable 5102 may be of a fixed length. In another example, thatfixed length may be less than about the circumference of the swivellingdisc 5104 and/or about equal to the distance of an are swept out by theelectrical connector receiver 5114 as the swivelling disc rotatesbetween extreme positions. It should also be understood that in anexample of the present technology when the swivelling disc 5104 is inthe position shown in FIG. 8d the largest amount of the slack portion ofthe cable 5102 is gathered or contained in the void 5124. Also, itshould be understood that the examples of the technology depicted inFIGS. 8g and 8h illustrate similar features to those depicted in FIGS.8d and 8f and as described above.

6.6.1.4.2 Cable Housing

FIGS. 8b-i and 11a-d depict features of the cable housing 5100 accordingto examples of the present technology. As described above, the cablehousing 5100 may include the inner wall 5101 and the outer wall 5103that together may define the void 5124 and the annular section 5174. Theinner wall 5101 may define an opening through which the airflow tube5130 may extend when the outlet assembly 5107 is assembled onto the RPTdevice 4000 and/or the humidifier 5000. Further facilitating thisassembly, tabs 5106 may be located on the cable housing 5100 to attachthe cable housing to the RPT device 4000 and/or the humidifier 5000, ora further housing thereof. This may improve the manufacturability andserviceability of the cable housing 5100. The tabs 5106 may beconfigured so that they are, by themselves and/or as a set, able tosupport the weight of the humidifier 5000 and/or the RPT device 4000.This may prevent damage from occurring to the humidifier 5000, the RPTdevice 4000 and/or the cable housing 5100 when the assembly isaccidentally lifted by the air circuit 4100 and/or the outlet connector4106. In some instances, the air circuit 4100 and/or the outletconnector 4106 may be configured to mechanically fail if the humidifier5000 and/or the RPT device 4000 is held in place and a force is imposedonto the air circuit. 4100 and/or the outlet connector 4106 in theupwards direction (in relation to FIG. 5c ).

Returning to the inner wall 5101 and the outer wall 5103, in an exampleof the present technology, the slack portion of the cable 5102 can beseen (for example, in FIG. 8c ) to form a radius in the void 5124. Thisradius may affect the stress imposed on the cable 5102 (and thereforepotentially its operating life) and is defined in part by the distance(VO_H in FIG. 8i ) between the inner wall 5101 and the outer wall 5103in the void 5124. Therefore, these walls may be separated by a distancein the range of 2 mm to 5 mm across the void 5124 based on a desiredminimum radius of the cable 5102. In one example, the distance is in therange of 4 mm to 5 mm. It should be understood that the desired minimumradius of the cable may change as a function of the properties of thecable 5102 and its design parameters such as design life, or usagecases. Similarly, the length (VO_L in FIG. 8i ) of the void 5124 may belengthened or shortened according to the maximum slack length of thecable 5102, which may be driven by the maximum rotation of theswivelling disc 5104.

The width (AN_W in FIG. 8i ) of the annular section 5174 between theinner wall 5101 and the outer wall 5103 may be minimised as the cable5102 travels therein as the swivelling disc 5104 rotates from oneextreme position to the other. This may have the benefit of reducingnoise produced by the cable and preventing buckling of the cable in theannular section. The width of the annular section may be betweenapproximately 1 mm and 4 mm, such as 2 mm or 3 mm, and it should beunderstood that the width may depend on various characteristics and/orproperties of the assembly, such as the characteristics of the cablechosen or the radius of the inner wall 5101. In some arrangements theinner wall 5101 of the annular section 5174 and/or the outer wall 5103of the annular section 5174 may include dampening material, to helpimprove sound performance when the swivelling disc is rotated. Adampening material may also ensure the cable moves around the inner wall5101 rather than the outer wall 5103 or vice versa.

In an example of the present technology, the cable housing 5100 may beformed front polypropylene, or polycarbonate/acrylonitrile butadienestyrene (PC/ABS). The swivelling disc 5104 may be formed from acombination of polycarbonate/acrylonitrile butadiene styrene (PC/ABS)and a thermoplastic elastomer (TPE).

6.6.1.5 Airflow Tube

FIGS. 10a-d show various views of the airflow lube 5130. As noted above,the airflow tube may be a multiple patient/multiple user (MPMU) tubeformed as a removable component that may be replaced or cleaned. Theairflow tube 5130 may include an inlet end 5132 that connects to thehumidifier 5000 or the RPT device 4000 as shown in FIG. 19a-19d . Theinlet end 5132 may comprise a pressure activated face seal or bellowsseal to provide scaled pneumatic connection from an outlet of the RPTdevice 4000 and/or the humidifier 5000. A seal may be used such as thatdescribed in U.S. Patent Application Publication No. 2011/0271956, whichis incorporated herein by reference in its entirely. In another exampleof the present technology, the airflow tube 5130 may be connected at theinlet end 5132 to at least one conduit that is in turn connected to theRPT device 4000 and/or the humidifier 5000. In any of these scenariosone function of the airflow tube 5130, and specifically the inlet end5132, may be to receive the How of gas from the RPT device 4000 and/orthe humidifier 5000 and direct it outside of the device to the aircircuit 4100 via the outlet connector 4106. The airflow tube 5130 alsofacilitates rotation of the outlet connector 4106 of the air circuit4100 by allowing the outlet connector 4106 to rotate around the outletend 5134.

A portion of the humidifier 5000 is shown in FIGS. 19a-19c with theairflow tube 5130 and/or the cable housing 5100. The airflow tube 5130may also incorporate a latch portion 5172 to connect with a receivingportion 5176 of the RPT device 4000 and/or the humidifier 5000 to locateand/or retain the airflow tube in a correct position within the RPTdevice 4000 and/or the humidifier 5000. The latch portion 5172 mayassist in locating the inlet end 5132 of the airflow tube in thecorrection position. The engagement of the latch portion 5172 with thereceiving portion may provide a sensory feedback such as a click, toindicate correct-connection. The latch portion 5172 may be furtherconfigured so that the airflow tube 5130 would be dislodged fromreceiving portion as it disengages therefrom. The latch portion 5172 maybe a different colour to the complementary receiving portion or RPTdevice 4000 and/or the humidifier 5000 component for improvedvisibility. In certain circumstances, the airflow tube 5130 and/or thereceiving portion 5176 may be configured so that a button such as at theend of the latch portion 5172 may be used to release the airflow tube5130 from the receiving portion 5176. A tool may be used to release theairflow tube 5130 from the receiving portion 5176.

The airflow tube 5130 may be configured so that engagement of the latchportion 5172 with the receiving portion 5176 also completes a pneumaticconnection between the air circuit 4100 and the RPT device 4000 and/orthe humidifier 5000 when the air circuit 4100 is attached to the RPTdevice 4000 and/or humidifier 5000. Accordingly, it may be possible todetect the absence or incorrect connection of the airflow tube 5130 or adisengagement thereof by detection of air leak.

In a further optional arrangement, when the outlet connector 4106 of theah-circuit 4100 is connected to the RPT device 4000 and/or thehumidifier 5000 the connection action may be configured to ensure thecorrect connection of the airflow lube 5130 with the receiving portion5176. Incorrect connection of the airflow lube 5130 to the receivingportion 5176 may prevent the outlet connector 4106 from being able toconnect correctly to the airflow lube 5130, which may be indicated bythe RPT device 4000 through detection of a high leak flow, for example.In a further alternative the outlet connector 4106 of the air circuit4100 may be used to facilitate insertion and/or removal of the airflowlube 5130 from the RPT device 4000 and/or the humidifier 5000.

As discussed above, when the air circuit 4100 is attached to the RPTdevice 4000 and/or humidifier 5000, the outlet end 5134 of the airflowtube 5130, may be coupled to the outlet connection region 4114 of theoutlet connector 4106. The outlet end 5134 may also be formed with anISO taper, such as a 22 mm outer diameter ISO taper, to allow connectionof standard non-heated air circuit.

As seen in FIG. 10a the airflow tube 5130 may comprise a flow bend,having an internal circular or curved cross-section configured to reducethe impedance of the air flow through the airflow tube 5130. The airflowtube 5130 may be constructed as a two-part process as shown in FIG. 10d, wherein the first portion 5130 a is moulded from rigid material suchas Bisphenol A (BPA) free polycarbonate/acrylonitrile butadiene styrene(PC/ABS), and the second portion 5130 b comprising at least a part ofthe flow bend is overmoulded from a compliant material such as silicone.Use of a compliant material to form the second portion 5130 b thatcomprises a portion of the bend may allow withdrawal of a moulding toolthat comprises the internal bend from the internal cavity at the end ofthe moulding process by deforming the second portion 5130 b.

The airflow tube 5130 may also include a retaining flange 5136 to assistin locating and/or securing the airflow tube 5130 to the RPT device 4000and/or the humidifier 5000, or a housing or chassis thereof. Theretaining flange 5136 may assist in correctly locating or positioningthe outlet end 5134 of the airflow tube 5130 within the outlet of theRPT device 4000 and/or humidifier 5000 as shown in FIG. 19c-19d byabutting a locating flange in the RPT device 4000 and/or humidifier5000. It should be understood that the retaining flange 5136 may allowfor fixed attachment of the airflow tube 5130. The retaining flange 5136may, alternatively, allow for removable attachment of the airflow tube5130 so that it may be cleaned or replaced, for example.

6.6.2 Producing the Air Circuit

Certain features of the air circuit 4100 and their relationship to itsproduction, according to examples of the present technology, will now bedescribed. FIG. 5f shows an exploded view of the components of the aircircuit 4100 according to an example of the present technology. Thesubstructure 4132 of the outlet connector 4106 may be a molded part thatincludes the tube connection region 4136 with structure to attach thetube portion 4102. The orifice 4144 opposite the tube connection region4136 may receive an end cap 4124 to partially provide a pneumatic seal,to the outlet connector 4106. A housing 4134 may be provided over thetop of the substructure 4132 to further seal the outlet connector 4106pneumatically and to provide additional structural support. The housing4134 may be introduced to the substructure 4132 by way of anovermoulding process. The electrical connector 4112 may include asupport structure 4126 to support at least one electrical lead 4128. Theelectrical connector 4112 may be produced by insert moulding, wherebythe electrical lead 4128 is moulded into the electrical connector 4112by moulding the support structure 4126 around the electrical lead 4128.The electrical connector 4112 may be located and/or connected onto theoutlet connector 4106 by the protruding tabs 4180 near the tubeconnection region 4136 of the substructure 4132. The grommet 4104 isalso shown with threads 4130 to allow the grommet to be threaded ontothe tube portion 4102, as will be discussed in greater detail below.

FIGS. 6a and 6c-e show various views of the substructure 4132 includingthe electrical connector 4112. The substructure 4132 and the supportstructure 4126 of the electrical connector 4112 may be molded frompolycarbonate/acrylonitrile butadiene styrene (PC/ABS). Also visible inFIG. 6a are the tube connection region 4136 and the lab 4148 having theactuator 4108 and the retention feature 4110 disposed thereon. Theorifice 4144 can also be seen opposite the tube connection region. Theorifice 4144 may be formed on the substructure 4132 during molding ofthe substructure. A mandrel may be used to form the tube connectionregion 4136 and the interior of the substructure 4132 during molding andthe orifice 4144 may be formed around the mandrel leaving this regionopen, when the mandrel is pulled oat after the substructure is molded.The end cap 4124, as shown in FIG. 5f , may be welded ultrasonicallyonto the substructure 4132 to sealingly cover the orifice 4144. The endcap 4124 may comprise an internal profile configured to reduce flowimpedance through the outlet connector 4106. For instance, the end cap4124 may incorporate a flow radius 4176 as shown in FIG. 5g-5iconfigured to increase the radius of the internal corners of the outletconnector 4106. The flow radius 4176 may also be constructed frommaterials suited for improved thermal and/or acoustic performance,and/or comprise an air gap between the flow radius 4176 and the housing4134 for improved thermal and/or acoustic performance.

FIG. 6b shows the support structure 4126 of the electrical connector4112 together with the at least one electrical lead 4128. A connectionend 4138 and a tube end 4140 of the support structure 4126 are alsoshown. It is noted that in FIG. 6b , the electrical lead 4128 shows asnap-off plate 4174 protruding towards the tube end 4140, which is notshown in the assembly figure (FIG. 6f ). The snap-off plate 4174 is usedduring assembly only, and does nor form a pan of the completed outletconnector 4106. In one form, the snap-off plate 4174 is removed afterindividual wires (e.g., of the helical coil 4103) are connected to theircorresponding electrical lead 4128.

FIG. 6f shows a perspective view of the assembled outlet connector 4106with the housing 4134 removed to show the internal structures. FIG. 6gshows a similar view in cross-section. FIG. 6g shows engagement of thethreads 4130 of the grommet 4104 onto the helical coil 4103 of the tubeportion 4102. Also, a portion of the tube portion 4102 can be seenextending through the grommet 4104 for attachment to the tube connectionregion 4136 of the substructure 4132 at connector threads 4142. Theseconnector threads 4142 can also be seen in FIG. 6c . In some forms, theportion of tube portion 4102 which engages with the tube connectionregion 4136 may be torn to enable a portion of the helical coil 4103 tobe unwound. This may allow the unwound portion of the helical coil 4103to be routed around the tube connection region 4136 to form theelectrical connections with the electrical connector 4112.

FIG. 17 shows a hatched cross-sectional view, in accordance with thepresent technology, of how the housing 4134 may be formed around theassembly of the tube portion 4102, the grommet 4104, and thesubstructure 4132. FIG. 17 shows the outlet connector 4106 assembled asshown in FIGS. 6f and 6g With upper awl lower mold tools 6000, 6002above and below the assembly. The mold tools 6000, 6002 can be seen todefine the exterior of the housing 4134, and the interior of the housing4134 may be defined by the grommet 4104, and the substructure 4132. Afunction of the grommet 4104 may also be understood from this view andmay be explained as follows. When molding the housing 4134 to completethe outlet connector 4106 the mold tools 6000, 6002 may need to completea seal around the internal structures which may require some pressure toaffect a sufficient seal. The requisite amount of pressure from the moldtools 6000, 6002 to achieve this seal may damage the tube portion 4102if the mold tools are pressed against it. Typically, a mandrel (notshown) would be inserted in the tube portion 4102 to maintain its shapewhile molding, which may then effectively ‘clamp’ any exposed portionsof the tube portion 4102, against the mold tools 6000, 6002. Thus, thegrommet 4104 may be included to allow the mold tools 6000, 6002 to forma sealed chamber to mold the housing 4134 while the grommet protects thetube portion 4102. Another feature that can also be seen in FIGS. 6f, 6g, and 17 is that the gas delivery tube portion 4102 may be threadedthrough the grommet 4104 such that the grommet will abut against thetube connection region 4136 of the substructure 4132. This may provide afurther scaling function.

6.6.2.1 The Grommet

FIGS. 7a-f show views of the grommet 4104 according to examples of thepresent technology. As shown in FIGS. 7b-d , the grommet 4104, accordingto examples of the present technology, may include threads 4130internally to allow the grommet to be threaded onto the tube portion4102. Threads 4130 may be configured to accept the helical coil 4103 ofthe lube portion 4102 and may be shaped and dimensioned. 10 cover onecomplete turn of the helical coil. As shown in FIGS. 7c-f , the grommet4104 may also include a grip section or grips 4154 around a radialportion. The grips 4154 may allow for easier gripping of the grommet4104 as it is threaded onto the tube portion 4102.

6.6.2.1.1 Producing the Grommet

The grommet 4104, according to an example of the present technology, maybe pre-molded or molded separately from the other components of the aircircuit 4100. In such a situation it may be advantageous to include atleast one keyway 4150 on the grommet 4104, as shown in FIG. 7a . Theinclusion of a keyway in this exemplary grommet 4104 may allow thegrommet 10 be restrained by the key way 4150 while an internal mold toolis rotated and extracted from the molded grommet. The grips 4154 mayalso be used for securement of the grommet 4104 during removal of aninternal tool.

The grommet 4104, in accordance with an example of the presenttechnology, may be formed of a material of sufficient strength andhardness to protect the tube portion 4102 during molding of the housing4134, as shown in FIG. 17. At the same time, the material should not beso hard such that the grommet 4104 itself damages the tube portion 4102.

The grommet 4104 may also include at least one flange 4152 disposedabout a radial portion thereof. The flange 4152 may allow the upper andlower mold tools 6000, 6002 to better seal around the grommet 4104during molding, as shown in FIG. 17. The flange 4152 may also help todistribute the pressure of the mold tools 6000, 6002 around the grommet4104 to prevent pinching, as lower pressures may be required for themold tools 6000, 6002 to achieve sealing in comparison to if the flange4152 was absent.

Another feature of the grommet 4104 may be to lengthen the life of thelube portion 4102 by reducing the peak stress created at the joint ofthe tube portion 4102 and the lube connection region 4136. Typically,the tube connection region 4136 is of much higher stiffness than in thetube portion 4102 in the bending direction, and a sudden change instiffness as such may lead to a localised high stress area. The grommet4104 may achieve the stress reduction by decreasing the change instiffness along the length of the assembled outlet connector 4106between the tube connection region 4136 and the tube portion 4102. Thismay decrease the stress concentration created on the tube portion 4102.

Thus, according to an example of the present technology, a thermoplasticelastomer may be used to form the grommet 4104. It should be understood,however, that other materials having similar properties may be equallysuitable.

6.6.2.2 Clip-Receiver Tube Attachment

FIGS. 30a to 30i depict further examples of the present technology forconnecting the tube portion 4102 to the substructure 4132. According tothese examples of the present technology, a clip-receiver arrangement isprovided to locate and/or secure the tube portion 4102 to thesubstructure 4132 prior to overmolding to form the outlet connector4106. The clip-receiver arrangement may also protect the tube portion4102 from damage white the substructure 4132 is overmoulded, for examplewith the housing 4134.

The tube connection region 4136 of these examples is formed with areceiver 4135. The receiver 4135 may be integrally molded with thesubstructure 4132 in one piece. Receiver threads 4135.1 are providedinternally to the receiver 4135 so that the helical coil 4103 may bethreaded onto the receiver threads to locate the tube portion 4102 inthe substructure 4132. In one form, the receiver 4135 may not completelysurround the periphery (or circumference) of the tube portion 4102, yetallow the tube portion 4102 to be inserted into the receiver such thatthe receiver threads 4135.1 (it onto the helical coil 4103. In thisform, a clip 4137 may be provided to fit around the remainder of theperiphery of the tube portion 4102, and may engage with the receiver4135. Clip threads 4137.1 may be formed internally on the clip 4137 suchthat when the clip is attached to the receiver 4135 the outer peripheryof the tube portion 4102 is surrounded by the clip and the receiver.Also, the clip threads 4137.1 and the receiver dire ads 4135.1 may beformed so that when assembled these threads have complementary shapesthat substantially match the helical coil 4103.

To attach the clip 4137 onto the receiver 4135 to secure the tubeportion 4102, a protrusion 4139.1 may be provided on each side of thereceiver 4135 and corresponding tabs 4139 may be formed on the clip. Thetabs 4139 may snap onto the respective protrusions 4139.1 to hold fiveclip 4137 onto the receiver 4135 with a snap-fit. FIG. 30a shows theclip 4137 attached to the receiver 4135 and FIG. 30b shows how the clipmay be attached. FIGS. 30d and 30g show the tube portion 4102 insertedinto the receiver 4135 prior to attachment of the clip 4137 and FIG. 30Cshows the clip attached to secure the tube in the tube connection region4136.

FIGS. 30e and 30f show views of the substructure 4132 attached to thetube portion 4102 and then overmolded with the housing 4134 to completethe outlet connector 4106 of the air circuit 4100. Once the tube portion4102 is attached to the substructure 4132 and secured at the lubeconnection region 4136 between the receiver 4135 and the clip 4137, asshown in FIG. 30c , this assembly may be overmolded in a manner similarto what is shown in FIG. 17. However, since the grommet 4104 describedabove is not used in the present example, the receiver 4135 may beprovided with a receiver flange 4135.2 and the clip 4137 may be providedwith a clip flange 4137.2 in place of the flange 4152 on the grommet toform a seal with the mold tools 6000, 6002 during overmolding of thehousing 4134. FIG. 30f shows a cross-sectional view of the outletconnector 4106 after overmolding the housing 4134 onto the substructure4132. The helical coil 4103 can be seen to be engaged to the receiverthreads 4135.1 and the clip threads 4137.1. In order to connect, thehelical coil 4103 electrically to the electrical, connector 4112, an endof the tube portion 4102 may be torn, to allow the helical coil 4103 tobe moved into position (e.g., by unwinding). Also, the housing 4134 canbe seen molded around the receiver 4135 and the clip 4137 up to thereceiver flange 4135.2 and the clip flange 4137.2.

FIGS. 30h and 30i show another example of the present technology wherethe clip 4137 is attached to the receiver 4135 by a pivoting structuresuch as a hinge 4141. According to this example, the hinge 4141 and theclip 4137 may be integrally molded with the substructure 4132 such thatthese components are one piece. To secure the tube portion 4102 to thesubstructure 4132, the tube may be inserted into the receiver 4135, asdescribed above, then the clip 4137 may be positioned over the exposedperiphery of the tube portion 4102 and secured by snapping the tab 4139onto the protrusion 4139.1. Accordingly, this example may have only oneprotrusion 4139.1 and one tab 4139 for attachment of the clip 4137.

6.6.2.3 Separable Gas Delivery Tube and Elbow Connector

FIGS. 14a-j depict another example of the present technology where thetube portion 4102 may be separable from an elbow connector 4158. In thisexample the tube portion 4102 may be connected to a tube cuff 4156 thatincludes at least one cuff retention feature 4160 and a cuff electricalconnector 4164 (see FIGS. 14l and 14j ). The tube cuff 4156 may beattachable to the elbow connector 4158 which may be a component of theoutlet connector 4106. The elbow connector 4158 may include at least onecuff receiver 4162 to receive a corresponding cull retention feature4160, thereby releasably attaching the tube cuff 4156 to the elbowconnector 4158.

The tube cuff 4156 may also include a cuff electrical connector 4164 toform an electrical connection with the electrical connector 4112 of theoutlet connector 4106. The electrical connector 4112 may, in turn,connect electrically to the cable 5102 via a swivel electrical connector5105.

This arrangement may, in similar fashion to other examples describedherein, provide for the formation of both pneumatic and electricalconnections with the outlet connector 4106. In this example oneelectrical and pneumatic connection may be formed by the connection ofthe cuff 4156 to the elbow connector 4158 and another may be formed bythe connection of the outlet connector 4106 to the outlet assembly 5107.Also, this example may provide a rotatable arrangement.

6.6.2.3.1 Electrical Connector Fixed to the Outlet Assembly

FIGS. 15a and 15b show an alternative example to the arrangementdepicted in FIGS. 14a-j . In this example the swivel electricalconnector 5105 is shaped to form an electrical connection with the cuffelectrical connector 4164 (shown in FIG. 14j ) such that the electricalconnector 4112 is not required. It should be understood that the swivelelectrical connector 5105 may be fixedly attached to the outlet assembly5107 and electrical and pneumatic connections are both made by theattachment of the outlet connector 4106 to the outlet assembly 5107. Inother words, this arrangement may be the inverse of that which isdisclosed in other examples such that the exposed electrical connectorin this example is located on the outlet assembly 5107 and the outletconnector 4106 has a feature to receive and form an electricalconnection.

6.6.2.4 Connection Assembly with Extended Tube

FIGS. 16a and 16b depict another example of the present technology.Similar to other examples, this example may provide for both electricaland pneumatic connections to be made between an outlet assembly 5107 andan outlet connector 4106. The connection may also be rotatable insimilar fashion to the other examples. This example also includes anoutlet tube 5142 that may extend from the outlet assembly 5107 to formthe pneumatic connection and define the axis of rotation of theconnection. The outlet tube 5142 may be part of an airflow tube 5130 asdescribed above.

6.6.3 Air Circuit-Outlet Connection Having Multiple Discrete Positions

According to another example of the present technology, as shown inFIGS. 13a-n , provides for a connection assembly wherein the air circuit4100, specifically the outlet connector 4106, may be connected to anoutlet 5140 in one of a plurality of discrete positions. The outlet 5140of this example of the present technology may be located on a housing5138 of the RPT device 4000 and/or the humidifier 5000. The outlet 5140may also include an outlet tube. 5142 and at least one outlet electricalconnector 5144. The outlet lube 5142 may be part of an airflow tube 5130as described above. Although not shown in these views, it should beunderstood that the outlet connector 4106 will be connectable to a gasdelivery tube that is connectable to a patient interface at the oppositeend and may include a heating element as described above. The gasdelivery tube may be formed integrally with the outlet connector 4106 orit may be removable, in which case a, further electrical connectionwould need to be provided for the tube. The examples depicted in theseviews may also provide for an electrical and pneumatic connection asdisclosed above. The outlet connector 4106 depicted in these examplesmay be shaped as an elbow and may be bent about 90°, although it shouldbe understood that a number angles may be possible, such as straight(180°), 150°, 120° or 60°.

One feature of the exemplary arrangement shown in FIGS. 13a-13n is theprovision of multiple discrete positions for removable attachment of theoutlet connector 4106 on the outlet 5140. This may be accomplished byproviding multiple outlet electrical connectors 5144 on the outlet 5140as shown in FIGS. 13f-h . The outlet connector 4106 may then include anelectrical connector 4112 as shown in FIG. 13k . Thus, when the outletconnector 4106 is connected to the outlet 5140, the electrical connector4112 electrically communicates with a corresponding one of the outletelectrical connectors 5144. FIGS. 13b and 13d show the outlet connector4106 connected to the outlet 5140 in a first position and FIG. 13j showsthe outlet connector in a second position. The examples depicted inthese Figures show two possible positions for the outlet connector 4106relative to the outlet 5140, however it should be understood that anynumber of positions may be provided by additional outlet electricalconnectors 5144.

It should also be understood that an alternative to the examplesheretofore described may provide for a plurality of electricalconnectors 4112 on the outlet connector 4106 while the outlet 5140includes a single outlet electrical connector 5144. Such an arrangementwould provide for a similar arrangement described above with multiplediscrete positions for the outlet connector. In other words, thisarrangement is merely the inverse of the arrangement described abovesuch that in the instant arrangement the outlet connector is providedwith multiple electrical connectors.

As can be seen in FIGS. 13b . 13 d, and 13 j, the outlet 5140 and theoutlet connector 4106 may be shaped complementary to one another. Whilecomplementary rectangular shapes are shown in these views it should beunderstood that the outlet 5140 and the outlet connector 4106 may takeon any other complementary shaped arrangement.

FIG. 13n depicts a view of the connection assembly that is similar tothat shown in FIG. 13j , for example, with the external componentsremoved to show the internal components. An outlet connector tube 4168is shown as an elbow with a bend of about 90° and is connected to theoutlet 5140. The electrical connector 4112 can also be seen connected toa corresponding outlet electrical connector 5144 and another outletelectrical connector is not occupied. The cable 5102 is also shownpassing across and in communication with the outlet electricalconnectors 5144. This view shows how the components of the outletconnector 4106, the outlet connector tube 4168 and the electricalconnector 4112, may provide both pneumatic and electrical connections.It also may be envisioned that the electrical connector 4112 may beconnected to the other outlet electrical connector 5144 and,accordingly, the outlet connector tube 4168 may be pointed in theopposite direction. Alternative examples may include the outletelectrical connectors 5144 positioned in various vertical and horizontalorientations.

The cable 5102 may be a flexible circuit board (FCB), as shown in FIG.13n , to connect to at least one electrical component 4200 of the RPTdevice 4000 and/or the humidifier 5000. In such an arrangement amulti-layer FCB may facilitate multiple signalling paths for each outletelectrical connector 5144. Alternatively, a number of separate wiringlooms may be provided. Each wiring loom would, in such an arrangement,be connected to individual outlet electrical connectors 5144.

The outlet electrical connectors 5144, the electrical connector 4112,and the cable 5102 may also include multiple connections for theprovision of powering and/or signalling functions.

6.6.3.1.1 Protection of Electrical Connectors

The outlet connector 4106 may also include at least one dummy connector4113. The dummy connector 4113 may function to cover and protect theunused outlet electrical connector 5144 when the outlet connector 4106is attached to the outlet 5140, as shown in FIGS. 13e and 13h . Bycovering the unused outlet electrical connector 5144 it may be protectedfrom damage due to debris and contaminants. In arrangements where morethan one unused electrical connector is provided a corresponding numberof dummy connectors may also be provided. Also, in the situation wherethere are multiple electrical connectors 4112 on the outlet connector4106 and one outlet-electrical connector 5144, the outlet 5140 mayinclude a number of dummy connector sufficient to protect the unusedelectrical connectors.

6.6.4 Rotatable Outlet Connector

FIGS. 22a to 29b show examples of the present technology where an outletconnector may provide pneumatic, electrical, and mechanical connectionssimultaneously while allowing a full rotational degree of freedom, orfreedom of rotation over 360° when connected. The outlet connector maybe used, for example, to join an air circuit comprising electricalcircuitry (such as a heated air circuit, or an air circuit capable ofcommunicating electrical signals) to a respiratory apparatus such as aRPT device, a humidifier, or an integrated PAP-humidifier device.

FIGS. 22a to 22h show an exemplary substructure assembly 4500 of anoutlet connector. FIG. 22g shows an exploded view of the substructureassembly 4500 to depict individual components of the substructureassembly. A body 4502 may provide structure to the substructure assembly4500. The body 4502 may facilitate the mechanical connection with therespiratory apparatus at the outlet connection region 4530 and with thetube portion 4102 at a tube connection region 4526. A shoulder 4532 maybe formed on the body 4502 near the outlet connection region 4530 toresist detachment from the respiratory apparatus, as will be describedin greater detail below. The tube connection region 4526 may havethreads 4528 to join with the helical coil of a tube portion 4102.

The body 4502 alone may not form a completely pneumatically sealed pathfor the flow of gas generated by the respiratory apparatus from theoutlet connection region 4530 to the tube connection region 4526, as canbe seen in FIG. 22g . Thus, a cap 4504, shown separately in FIG. 24, maybe joined to the body 4502 to provide an airflow path from the outletconnection region 4530 to the tube connection region 4526. The cap 4504may be provided with a retaining feature, such as labs 4520 to engagewith notches 4524 on the body 4502. The cap 4504 may also be providedwith prongs 4518 to engage with detents 4522 on the body 4502. Theengagement between, the tabs 4520 and the notches 4524 and between theprongs 4518 and the detents 4522 may locale and/or securely connect thecap 4504 to the body 4502. FIG. 22h shows an example of the attachmentof the cap 4504 to the body 4502. While this engagement may provide amechanical connection between the body 4502 and the cap 4504, it shouldbe understood that a complete pneumatic seal for the airflow pathbetween the outlet connection region 4530 and the lube connection region4526 may not be formed between the cap and the body. The completepneumatic seal may be formed by an overmoulding process similar to thatdescribed above in section 5.6.2. Thus, the substructure assembly 4500may be joined to a tube portion at the tube connection region 4526 andthen this assembly may be overmoulded to form, a seal around thesubstructure assembly and the tube portion by molding a housing aroundthe substructure assembly 4500.

As the air circuit 4100 may be heated according to this example of thetechnology, connector contacts 4510, 4512, 4514 are provided to thesubstructure assembly 4500 at the outlet connection region 4530. Theconnector contacts 4510, 4512, 4514 may form electrical connections withthe respiratory apparatus to provide electrical power and/or signal tothe air circuit. The connector contacts 4510, 4512, 4514 may surroundthe outer periphery of the outlet connection region 4530. The connectorcontacts 4510, 4512, 4514 may be joined to wires 4508 of an electricalcontact assembly 4506. A snap-off plate 4536 may be provided to theelectrical contact assembly 4506 and the snap-off plate may be removedwhen joining electrical wires of the tube portion to the electricalcontact assembly 4506 during production. The electrical contact assembly4506 may be joined to the body 4502 by moulding the body over theelectrical contact assembly such that only the connector contacts 4510,4512, 4514 and the snap-off plate 4536 are exposed. The connectorcontacts 4510, 4512 and 4514 are protected from being covered by theinjected polymer during the moulding process. For example, the connectorcontacts 4510, 4512 and 4514 are held tightly within a mould tool sothey are not displaced during the moulding process and are not coveredby the injected polymer. Moulding the body 4502 over the electricalcontact assembly 4506 may protect the wires 4508 mid/or preserve theelectrical power and/or signal carried by the wires 4508. For instance,by moulding the body 4502 over electrical contact assembly 4506, thewires 4508 may be protected from moisture in the airflow path duringoperation of the respiratory apparatus, and any risk of short-circuitingwithin the wires 4508 may be also reduced. It should be understood thatthe components of the electrical contact assembly 4506 may be comprisedof a material that conducts electricity, e.g., a metal or a metallicalloy. Although the electrical contact assembly 4506 is shown with threeconnector contacts 4510, 4512 and 4514, it will be understood that anynumber of connector contacts may be utilised.

FIGS. 25a and 25b show a portion of wires 4508 and the connectorcontacts 4510, 4512, 4514 with snap-off plate 4536. FIG. 25a shows thewires 4508, the connector contacts 4510, 4512, 4514, and the snap-offplate 4536 in a flat shape and these parts may be stamped and formedfrom a flat sheet of material. FIG. 25b shows the wires 4508 wrapped ina circular shape to form the connector contacts 4510, 4512, 4514 thatwill be exposed at the outlet connection region 4530 when the body 4502is moulded over the electrical contact assembly 4506. It will beappreciated that the portion of wires 4508 shown in FIGS. 25a and 25bmay be joined with one or more portions of wires to produce theelectrical contact assembly 4506 as shown in FIG. 22g , or in someforms, the electrical contact assembly 4506 may be produced from onesheet (e.g., by stamping and/or bending from a sheet of electricallyconductive material).

As noted above, it may be desirable to shield the electrical contactassembly 4506 from exposure to moisture in the airflow path and this maybe accomplished by moulding the body 4502 onto the electrical contactassembly, for example by insert moulding. Moulding the body 4502 ontothe electrical contact assembly 4506 in this manner may result in theformation of a wire overmould 4534. The wire overmould 4534 may beformed as a portion of the body 4502 to enclose the wires 4508 andprotect the wires from moisture in the airflow path up to the point inthe body where the wires emerge to be joined with the tube portion atthe tube connection region.

FIG. 22d shows a side view of an exemplary substructure assembly 4500 todepict a sweep bend of the substructure assembly. The sweep bend may beunderstood in a two-dimensional (planar) sense as bend shape of thesubstructure assembly 4500 where an inner radius Ri and an outer radiusR_(Q) of the substructure assembly may have a common arc center. In athree-dimensional sense, a sweep bend nay be understood as a bendwherein the entire outline of a cross section has a common arc center,thereby provides a constant cross-sectional shape through the length ofthe bend in the substructure assembly 4500 along the airflow path. Insome forms, Ro may be between about 1 and about 3 times that of adiameter of the cross-section. In further examples, Ro may be between1.5 and 2 times that of a diameter of the cross-section.

A sweep bend (in a two- or three-dimensional sense) may be advantageousin that a smaller pressure drop may result from a sweep bend as comparedto a sharper and/or more abrupt bend, for example a right-angle bend, ora right-angle bend which comprise internal radii of substantiallysimilar diameters. Additionally, an exemplary sweep bend may have arelatively large radius of curvature in that the center radius of thesweep bend (average of the inner radius and the outer radius) may be0.5-3 times the internal diameter of the airflow path defined by theinterior of the substructure assembly 4500.

FIGS. 23a to 23f show examples of the substructure assembly 4500 withoutthe electrical contact assembly 4506. While the substructure assembly4500 has been described above as having the electrical contact assembly4506 moulded with the body 4502, it should be understood that theseviews depict some structural features of the substructure assembly 4500that may not be visible because of the presence of the electricalcontact assembly. For example, contact recesses 4511, 4513, 4515 may beformed in the body 4502 at the outlet connection region 4530. Thecontact recesses 4511, 4513, 4515 may be formed around the connectorcontacts 4510, 4512, 4514 when moulding the body 4502 onto theelectrical contact assembly 4506. FIGS. 23d and 23f , for example, showthe absence of the connector contacts 4510, 4512, 4514 at the outletconnection region 4530. Also, the outlet connection region 4530 can beseen to taper down to decrease in external diameter towards a housingend of the outlet connection region 4530. As will be described infurther detail below, this arrangement may comprise one detent 4522, andthus provide one point of force feedback to the user upon engagement. Itis also envisaged that multiple detents may be used, however in somecases this may not be desirable, as the user may potentially perceiveengagement of one detent (whilst others may not be engaged) as theengagement of the connection.

6.6.4.1 Manufacture of the Outlet Connector

In one form, the substructure assembly 4500 may be manufacturedaccording to the following steps. The electrical contact assembly 4506may be formed by stamping a flat sheet of material, and forming thebends and curvatures as required to a final shape as shown in FIG. 22g .The body 4502 may be moulded including the electrical contact assembly4506, for example by insert moulding over the electrical contactassembly 4506.

Then, the cap 4504 may then be located on the body 4502, for examplejoined by the detents 4522 and tabs 4520, and the electrical contactassembly 4506 may be joined to wires to form electrical connections withthe lube portion 4102. The plate 4536 may then be removed, and thesubstructure assembly 4500 may be overmoulded with the housing (notshown) similarly to above. During this process, one or more internaljigs (not shown) may be inserted into the substructure assembly 4500 toprevent the cap 4504 from collapsing to the interior of the air path of(lie body 4502.

6.6.4.2 Connecting the Outlet Connector

FIG. 26a shows a cross-sectional view of a connection arrangementbetween the outlet connection region 4530 and a housing 5200 of arespiratory apparatus according to an example of the present technology.The connector contacts 4510, 4512, 4514 at the outlet connection region4530 are shown in contact with outlet contacts 5202, 5204, 5206. Theoutlet contacts 5202, 5204, 5206 may be positioned in grooves 5208,5210, 5212 in the periphery of an opening 5201 of the housing 5200.

FIG. 26b shows a detailed view of this connection arrangement. In FIG.26b it can also be seen how the shoulder 4532 may be shaped to engagewith the outlet contact 5202 to facilitate retention of the outletconnection region 4530 within the housing 5200. Although the outletcontact 5202 may primarily perform the retention function in thedepicted example, it should be understood that in further examples morethan one of the outlet contacts may perform the retention function.Accordingly, additional corresponding shoulders may be formed on theoutlet connection region 4530.

According to an example of the present technology, each of the outletcontacts 5202, 5204, 5206 may comprise a canted spring in acorresponding groove 5208, 5210, 5212. Exemplary canted, springs areBalContact™ springs from Bal Seal Engineering Co. Inc. In the examplewhere the outlet contacts 5202, 5204, 5206 are canted springs, thecanted springs may be comprised of an elastic material that conductselectricity, e.g., a metal or a metallic alloy. It may be advantageousfor the material and/or a configuration of the outlet contacts 5202,5204, 5206 to be elastic so that the outlet contacts will elasticallydeform during engagement and/or disengagement with the outlet connectionregion 4530. This may ensure that the outlet contacts 5202, 5204, 5206maintain electrical contact with the connector contacts 4510, 4512,451.4 when the outlet connection region 4530 is engaged with the housing5200. It may also be advantageous to use canted springs as the outletcontacts 5202, 5204, 5206 because their elasticity may providemechanical and/or audible feedback to indicate to the user that aconnection has been made, while also providing secure retention of theoutlet connection region 4530. Moreover, canted springs may also allowfor some play within the connection necessary for rotation, whilemaintaining secure engagement. Also, each of the grooves 5208, 5210,5212 may be formed from a material that conducts electricity, e.g., ametal or a metallic alloy. Although not shown in these views, it shouldbe understood that the grooves 5208, 5210, 5212 are in electricalcommunication with a source of electrical power, for example with asource of electrical power in the respiratory apparatus. Thus, therespiratory apparatus may deliver electrical power to heat the tube,which is provided from the grooves 5208, 5210, 5212 through the outletcontacts 5202, 5204, 5206 to the connector contacts 4510, 4512, 4514.The electrical connections formed may also provide communicationfunctions such as electrical signalling.

According to these depicted examples, electrical, pneumatic, andmechanical connections may be formed and maintained when the outletconnection region 4530 is inserted into the housing 5200. The outletconnector may be rotated once this connection is formed whilemaintaining these electrical, pneumatic, and mechanical connections. Theelectrical connection may be maintained because the connector contacts4510, 4512, 4514 extend peripherally around the outlet, connectionregion 4530 such that at least a portion of each connector contact isalways in contact with a respective one of the outlet contacts 5202,5204, 5206 during within the housing 5200. Engagement of the shoulder4532 with the outlet contact 5202 may serve to maintain the mechanicalconnection during rotation. It should be understood that additionalshoulders may be provided to engage with the other outlet contactsshould additional retention be desired. The pneumatic connection may bemaintained during rotation because the outlet connection region 4530 maybe sized and shaped to form close fit with the opening 5201 of thehousing 5200. Additionally, peripheral seal(s) may be provided to ensurea secure pneumatic connection between the outlet connector and therespiratory apparatus.

FIGS. 27a to 27c show cross-sectional views of further examples ofconnection arrangements according to the present technology. FIG. 27ashows an example where the outlet connection region 4530 includes theconnector contact 4510 with the shoulder 4532 on one side and anadditional shoulder 4532.1 on the other side such that the connectorcontact 4510 is recessed. The outlet contact 5202 may extend from thegroove 5208 into the recessed connector contact 4510 between theshoulder 4532 and the additional shoulder 4532.1. FIG. 27c depicts adetailed view of this arrangement. FIG. 27b shows a farther alternativewhere the connector contact 4510 may be further recessed between theshoulder 4532 and the additional shoulder 4532.1. Also, in this examplethe outlet contact 5202 is carried on the outlet connection region 4530between the shoulder 4532 and the additional shoulder 4532.1, ratherthan in the groove 5208 of the housing 5200. The peripheral surfaces ofthe connector contact 4510 and of the groove 5208 in these examples maybe flat where they engage with the outlet contact 5202.

FIGS. 28a to 28c show cross-sectional views of further examples ofconnection arrangements according to examples of the present technology.The example shown in FIGS. 28a and 28c varies from the example shown inFIGS. 27a and 27c in that the surface of the groove 5208 is V-shaped.The example shown in FIG. 28b varies from the example shown in FIG. 27bin that the connector contact 4510 is V-shaped.

FIGS. 29a and 29b Show examples of the present technology where theoutlet connection region 4530 may be attached and retained in thehousing 5200. FIG. 29a shows the outlet connection region 4530 beinginserted into the housing 5200. The outlet connection region 4530 may betapered to progressively compress the outlet contact 5202 into thegroove 5208 as the outlet connection region is inserted into thehousing. Once inserted, as shown in FIG. 29b , the outlet contact 5202may abut against the shoulder 4532 and/or the additional shoulder 4532.1to limit axial movement of the outlet connection region 4530 relative tothe housing 520.

While FIGS. 27a-c, 28a-c, and 29a-b each show one set of a connectorcontact 4510, an outlet contact 5202, and a groove 5208, it should beunderstood that a plurality of sets of these components may be provided.

While the examples discussed above have referred to connecting thedepicted outlet connector to a respiratory apparatus, it should beunderstood that these connection arrangements may be suitable forloaning electrical, mechanical and pneumatic connections between othercomponents, such as two air circuits, a RPT device to a humidifier, aRPT device to a patient interface and/or a humidifier to a patientinterface. For example, the ability to maintain electrical, mechanical,and pneumatic connections while allowing a full rotational degree offreedom may be beneficial because it may help to reduce tube stressresulting from patient movement while wearing a patient interface at theopposite end of the tube. Another advantage of the present technologymay be that rotational alignment may not be required to engage and/ordisengage the connection arrangement, such as between the outletconnector and the respiratory apparatus.

6.7 Glossary

For the purposes of the present technology disclosure, in certain formsof the present technology, one or more of the following definitions mayapply. In other forms of the present technology, alternative definitionsmay apply.

6.7.1 General

Air. In certain forms of the present technology, air supplied to apatient may be atmospheric air, and in other forms of the presenttechnology atmospheric air may be supplemented with oxygen.

Continuous Positive Airway Pressure (CPAP): CPAP treatment will be takento mean the application of a supply of air or breathable gas to theentrance to the airways at a pressure that is continuously positive withrespect to atmosphere, and preferably approximately constant through arespiratory cycle of a patient. In some forms, the pressure at theentrance to the airways will vary by a few centimeters of water within asingle respiratory cycle, for example being higher during inhalation andlower during exhalation. In some forms, the pressure at the entrance tothe airways will be slightly higher during exhalation, and slightlylower during inhalation. In some forms, the pressure will vary betweendifferent respiratory cycles of the patient, for example being increasedin response to detection of indications of partial upper airwayobstruction, and decreased in the absence of indications of partialupper airway obstruction.

6.7.2 Aspects of RPT Devices

Air circuit: A conduit or tube constructed and arranged in use todeliver a supply of air or breathable gas between two components such asa RPT device and a patient interface, a RPT device and humidifier, or ahumidifier and a patient interface. The air circuit may be referred toas air delivery tube. In some cases there may be separate limbs of thecircuit for inhalation and exhalation. In other cases a single limb isused.

Controller: A device, or portion of a device that adjusts an outputbased on an input. For example one form of controller has a variablethat is under control—the control variable—that constitutes the input tothe device. The output of the device is a function of the current valueof the control variable, and a set point for the variable. Aservo-ventilator may include a controller that has ventilation as aninput, a target ventilation as the set point, and level of pressuresupport as an output. Other forms of input may be one or more of oxygensaturation (SaO2), partial pressure of carbon dioxide (PCO2), movement,a signal from a photoplethysmogram, and peak flow. The set point of thecontroller may be one or more of fixed, variable or learned. Forexample, the set point in a ventilator may be a long term average of themeasured ventilation of a patient. Another ventilator may have aventilation set point that changes with time. A pressure controller maybe configured to control a blower or pump to deliver air at a particularpressure.

Transducers: A device for converting one form of energy or signal intoanother. A transducer may be a sensor or detector for convertingmechanical energy (such as movement) into an electrical signal Examplesof transducers include pressure transducers, flow transducers, carbondioxide (CO₂) transducers, oxygen (O₂) transducers, effort transducers,movement transducers, noise transducers, a plethysmograph, and cameras.

6.7.3 Humidifiers

Dew Point: The atmospheric temperature (varying according to pressureand humidity) below which water droplets begin to condense and dew canform.

Humidity, absolute: The amount of water vapor present in a unit volumeof air, usually expressed in mass per volume (e.g. g/m³).

Humidity, relative: The amount of water vapor present in air expressedas a percentage of the amount needed for saturation at the sametemperature.

6.7.4 Materials

Silicone or Silicone Elastomer: A synthetic rubber. In (hisspecification, a reference to silicone is a reference to liquid siliconerubber (LSR) or a compression moulded silicone rubber (CMSR). One formof commercially available LSR is SILASTIC (included in the range ofproducts sold under this trademark), manufactured by Dow Corning.Another manufacturer of LSR is Wacker. Unless otherwise specified to thecontrary, a preferred form of LSR has a Shore A (or Type A) indentationhardness in the range of about 35 to about 45 as measured using ASTMD2240.

Polycarbonate: a typically transparent thermoplastic polymer ofBisphenol-A Carbonate.

6.7.5 Aspects of a Patient Interface

Ana-Asphyxia Valve (AAV): The component or sub-assembly of a mask systemthat, by opening to atmosphere in a failsafe manner, reduces the risk ofexcessive CO₂ rebreathing by a patient.

6.7.6 Terms Used in Relation to Patient Interface

Curvature (of a surface): A region of a surface having a saddle shape,which curves up in one direction and curves down in a differentdirection, will be said to have a negative curvature. A region of asurface having a dome shape, which curves the same way in two principledirections, will be said to have a positive curvature. A flat surfacewill be taken to have zero curvature.

Floppy: A quality of a material, structure or composite that, is thecombination of features of:

-   -   Readily conforming to finger pressure.    -   Unable to retain its shape when caused to support its own        weight.    -   Not rigid.    -   Able to be stretched or bent elastically with little effort.

The quality of being floppy may have an associated direction, hence aparticular material, structure or composite may be floppy in a firstdirection, but stiff or rigid in a second direction, for example asecond direction that is orthogonal to the first direction.

Resilient: Able to deform substantially elastically, and to releasesubstantially all of the energy upon unloading, within a relativelyshort period of time such as 1 second.

Rigid: Not readily deforming to finger pressure, and/or the tensions orloads typically encountered when setting up and maintaining a patientinterface in scaling relationship with an entrance to a patient'sairways.

Semi-rigid: means being sufficiently rigid to not substantially distortunder the effects of mechanical forces typically applied during positiveairway pressure therapy.

6.8 Other Remarks

A portion of the disclosure of this patent document contains materialwhich is subject to copyright protection. The copyright owner has noobjection to the facsimile reproduction by anyone of the patent documentor the patent disclosure, as it appears in the Patent and TrademarkOffice patent file or records, but otherwise reserves all copyrightrights whatsoever.

Unless the context clearly dictates otherwise and where a range ofvalues is provided, it is understood that each intervening value, to thetenth of the unit of the lower, limit, between the upper and lower limitof that range, and any other stated or intervening value in that statedrange is encompassed within the technology. The upper and lower limitsof these intervening ranges, which may be independently included in theintervening ranges, are also encompassed within the technology, Subjectto any specifically excluded limit in the stated range. Where the statedrange includes one or both of the limits, ranges excluding either orboth of those included limits are also included in the technology.

Furthermore, where a value or values are stated herein as beingimplemented as part of the technology, it is understood that such valuesmay be approximated, unless otherwise stated, and such values may beutilized to any suitable significant digit to the extent that apractical technical implementation may permit or require it.

Unless defined otherwise, all technical and scientific terms used hereinhave the same meaning as commonly understood by one of ordinary skill inthe art to which this technology belongs. Although any methods andmaterials similar or equivalent to those described herein can also beused in the practice or testing of the present technology, a limitednumber of the exemplary methods and materials are described herein.

When a particular material is identified as being used to construct acomponent, obvious alternative materials with similar properties may beused as a substitute. Furthermore, unless specified to the contrary, anyand all components herein described are understood to be capable ofbeing manufactured and, as such, may be manufactured together orseparately.

It must be noted that as used herein and in the appended claims, thesingular forms “a”, “an”, and “the” include their plural equivalents,unless the context clearly dictates otherwise.

All publications mentioned herein are incorporated by reference todisclose and describe the methods and/or materials which are the subjectof those publications. The publications discussed herein are providedsolely for their disclosure prior to the filing date of the presentapplication. Nothing herein is to be construed as an admission that thepresent technology is not entitled to antedate such publication byvirtue of prior invention. Further, the dates of publication providedmay be different from the actual publication dates, which may need to beindependently confirmed.

The subject headings used in the detailed description are included onlyfor the case of reference of the reader and should not be used to limitthe subject matter found throughout the disclosure or the claims. Thesubject headings should nor be used in construing the scope of theclaims or the claim limitations.

Although the technology herein has been described with reference toparticular examples, it is to be understood that these examples aremerely illustrative of the principles and applications of thetechnology. In some instances, the terminology and symbols may implyspecific details that are not required to practice the technology. Forexample, although the terms “first” and “second” may be used, unlessotherwise specified, they are not intended to indicate any order but maybe utilised to distinguish between distinct elements. Furthermore,although process steps in the methodologies may be described orillustrated in an order, such an ordering is not required. Those skilledin the art will recognize that such ordering may be modified and/oraspects thereof may be conducted concurrently or even synchronously.

It is therefore to be understood that numerous modifications may be madeto the illustrative examples and that other arrangements may be devisedwithout departing from the spirit and scope of the technology.

7 REFERENCE NUMERAL LIST

patient 1000 bed partner 1100 patient interface 3000 structure 3100plenum chamber 3200 structure 3300 vent 3400 connection port 3600forehead support 3700 rpt device 4000 external housing 4010 upperportion 4012 portion 4014 panel 4015 chassis 4016 handle 4018 pneumaticblock 4020 air circuit 4100 tube portion 4102 helical coil 4103 grommet4104 outlet connector 4106 patient interface connector 4107 actuator4108 retention feature 4110 electrical connector 4112 dummy connector4113 outlet connection region 4114 recess 4116 opening 4118 rib 4120 endcap 4124 support structure 4126 electrical lead 4128 thread 4130substructure 4132 housing 4134 receiver 4135 receiver thread   4135.1receiver flange   4135.2 tube connection region 4136 clip 4137 clipthread   4137.1 clip flange   4137.2 connection end 4138 tab 4139protrusion   4139.1 tube end 4140 hinge 4141 connector thread 4142orifice 4144 tab 4148 keyway 4150 flange 4152 grip 4154 cuff 4156 elbowconnector 4158 cuff retention feature 4160 least one cuff receiver 4162cuff electrical connector 4164 outlet connector tube 4168 base seal 4170plate 4174 flow radius 4176 travel stop 4178 tab 4180 electricalcomponent 4200 PCBA 4202 power supply 4210 input device 4220 centralcontroller 4230 therapy device controller 4240 transducer 4270 outputdevice 4290 pneumatic component 4300 air filter 4310 inlet air filter4312 outlet air filter 4314 muffler 4320 inlet muffler 4322 outletmuffler 4324 pressure device 4340 blower 4342 motor 4344 back valve 4360supplemental oxygen 4380 substructure assembly 4500 body 4502 cap 4504electrical contact assembly 4506 wire 4508 connector contact 4510contact recess 4511 connector contact 4512 contact recess 4513 connectorcontact 4514 contact recess 4515 prong 4518 tab 4520 detent 4522 notches4524 tube connection region 4526 thread 4528 outlet connection region4530 shoulder 4532 additional shoulder   4532.1 wire overmould 4534plate 4536 humidifier 5000 cable housing 5100 inner wall 5101 cable 5102outer wall 5103 swivelling disc 5104 swivel electrical connector 5105tab 5106 outlet assembly 5107 stop surface 5108 exit flange 5109 stopsurface 5110 flange 5112 swivel disc seal 5113 electrical connectorreceiver 5114 opening 5116 retainer 5118 stop surface 5120 stop surface5122 void 5124 notch 5126 tang 5128 airflow tube 5130 first portion 5130a second portion  5130b inlet end 5132 outlet end 5134 flange 5136housing 5138 outlet 5140 outlet tube 5142 outlet electrical connector5144 contact element 5146 point 5150 point 5152 point 5154 pin 5156female electrical connector 5158 internal shoulder 5160 retentionfeature 5162 contact portion 5164 base portion 5166 curved portion 5168latch portion 5172 annular section 5174 portion 5176 humidifierreservoir 5180 humidifier reservoir outler 5182 housing 5200 opening5201 outlet contact 5202 outlet contact 5204 outlet contact 5206 groove5208 groove 5210 groove 5212 heating element 5240 mold tool 6000 moldtool 6002

The invention claimed is:
 1. A connection assembly for a respiratorytherapy system, comprising: an outlet assembly comprising: an outlethousing having a circular, inner wall and an outer wall, the circular,inner wall and the outer wall forming an annular section in which thecircular, inner wall and the outer wall are spaced apart by a firstdistance, and the circular, inner wall and the outer wall forming a voidin which the circular, inner wall and the outer wall are spaced apart bya second distance that is greater than the first distance; and aswivelling disc positioned on the circular, inner wall of the outlethousing; and a cable having a first end configured to communicateelectrically with an electrical connector and a second end configured tocommunicate electrically with at least one electrical component of therespiratory therapy system, the cable having a slack portion, whereinthe swivelling disc is rotatable relative to the outlet housing betweena first position and a second position, and wherein when the swivellingdisc is in the first position, the slack portion is positioned in thevoid and is not wrapped around the annular section, and when theswivelling disc is in the second position, the slack portion is notpositioned in the void and is wrapped around the annular section.
 2. Theconnection assembly of claim 1, wherein the swivelling disc includes apair of stop first surfaces and the outlet housing includes a pair ofsecond stop surfaces configured to contact corresponding ones of thepair of first stop surfaces to limit rotation of the swivelling discrelative to the outlet housing, wherein the pair of first stop surfacesand the pair of second stop surfaces are arranged to limit rotation ofthe swivelling disc relative to the outlet housing to less than 360° andgreater than 180°.
 3. The connection assembly of claim 2, wherein thepair of first stop surfaces are located on either side of and adjacentto a receiver opening in the swivelling disc that is configured toreceive the cable.
 4. The connection assembly of claim 2, wherein thepair of second stop surfaces are positioned on the inner wall of theoutlet housing, wherein the inner wall of the outlet housing forms ahole and the void and the annular section are on opposite sides of thehole, and wherein the second distance is in the range of about 2 mm toabout 5 mm.
 5. The connection assembly of claim 1, wherein the cablecomprises a flexible circuit board or a ribbon cable, wherein the cablehas a substantially rectangular cross-section, and wherein the cable ispositioned within the outlet housing such that a major side of thesubstantially rectangular cross-section is parallel to an axis ofrotation of the swivelling disc.
 6. The connection assembly of claim 1,wherein the outlet housing includes a retainer, the retainer beingconfigured to retain the slack portion within the void.
 7. Theconnection assembly of claim 1, wherein the slack portion comprises afixed length that is less than a circumference of the swivelling disc,wherein when the swivelling disc is in the first position the slackportion is positioned in the void, and wherein a larger portion of thecable is positioned in the void when the swivelling disc is in the firstposition than when the swivelling disc is in the second position.
 8. Theconnection assembly of claim 1, comprising: an outlet connector and atube portion, the outlet connector being positioned at an end of thetube portion and configured to connect the tube portion to the outletassembly, and the electrical connector being positioned on the outletconnector, wherein the outlet connector and the swivelling disc areconfigured to be connected such that the outlet connector and theswivelling disc are rotatable in unison.
 9. The connection assembly ofclaim 8, wherein the tube portion includes a heating element disposedalong at least a portion of the tube portion, the heating element beingconnected to the electrical connector.
 10. The connection assembly ofclaim 8, wherein the swivelling disc includes an electrical connectorreceiver that is configured to receive the electrical connector, andwherein the electrical connector is configured to be electricallyconnected to the cable within the electrical connector receiver, whereinthe electrical connector receiver includes an opening that is configuredto receive the electrical connector when the outlet connector isconnected to the outlet assembly, wherein the outlet connector is shapedto cover the opening of the electrical connector receiver when theoutlet connector is connected to the outlet assembly, and wherein theoutlet connector includes a recess proximal to the electrical connectorand the electrical connector receiver includes a protruding portion, therecess being shaped to correspond to the protruding portion of theelectrical connector receiver.
 11. The connection assembly of claim 8,wherein the outlet connector includes at least one retention featureconfigured to releasably connect the outlet connector to the swivellingdisc via at least one corresponding notch positioned on the swivellingdisc, wherein the outlet connector includes at least one tab, the atleast one retention feature positioned on the at least one tab, and theat least one tab having an actuator, and wherein the actuator isconfigured to release the at least one retention feature from a notchpositioned of the swivelling disc.
 12. The connection assembly of claim8, wherein the outlet connector includes a grommet configured to connectthe tube portion to a tube connection region of the outlet connector,wherein the grommet includes threads to receive a coil of the tubeportion, wherein the grommet is comprised of a thermoplastic elastomer,wherein the grommet includes a grip section, and wherein the gripsection includes a plurality of ridges and a plurality of recessesdisposed radially around the grommet.
 13. The connection assembly ofclaim 8, wherein the outlet connector includes a receiver at a tubeconnection region, the receiver comprising receiver threads, a receiverflange, and at least one protrusion, wherein the outlet connectorfurther comprises a clip to secure the tube portion within the receiver,the clip comprising clip threads, a clip flange, and at least one tab,wherein the at least one tab is structured to engage with the at leastone protrusion to secure the clip to the receiver, wherein the clipthreads and the receiver threads are structured to receive a coil of thetube portion.
 14. The connection assembly of claim 8, wherein when theoutlet connector is connected to the outlet assembly a rotatable,electrical, and pneumatic connection is formed between the outletconnector and the outlet assembly.
 15. The connection assembly of claim8, wherein the outlet assembly comprises an airflow tube having atapered end that is configured to connect to the outlet connector, theoutlet connector being configured to pneumatically seal against theairflow tube, wherein the airflow tube is removable from the outletassembly, and wherein the outlet connector includes at least one rib atan outlet connection region to support the outlet connector on theairflow tube when the outlet connector is connected to the outletassembly.
 16. A respiratory therapy system for the treatment of sleepdisordered breathing in a patient, comprising: a respiratory therapydevice configured to provide a flow of air to the patient at positivepressure relative to atmosphere, the respiratory therapy devicecomprising: a respiratory therapy device housing; and an outlet assemblypositioned on the respiratory therapy device housing, the outletassembly comprising: an outlet housing having a circular, inner wall andan outer wall, the circular, inner wall and the outer wall forming anannular section in which the circular, inner wall and the outer wall areseparated by a first distance, and the circular, inner wall and theouter wall forming a void in which the circular, inner wall and theouter wall are separated by a second distance that is greater than thefirst distance; a swivelling disc positioned on the circular, inner wallof the outlet; and housing a cable having a first end configured tocommunicate electrically with an electrical connector and a second endconfigured to communicate electrically with at least one electricalcomponent of the respiratory therapy system; and an air circuitconfigured to connect to the outlet assembly and to a patient interface,the air circuit comprising a tube portion and an outlet connectorpositioned at an end of the tube portion, the outlet connector beingconfigured to connect the tube portion to the outlet assembly, theoutlet connector including the electrical connector, wherein the outletconnector and the swivelling disc are configured to be connected suchthat the outlet connector and the swivelling disc are rotatable inunison relative to the outlet housing between a first position and asecond position, and wherein when the swivelling disc is in the firstposition, a portion of the cable is positioned in the void and is notwrapped around the circular, inner wall.
 17. The respiratory therapysystem of claim 16, wherein the swivelling disc includes a pair of firststop surfaces and the outlet housing includes a pair of second stopsurfaces, wherein the pair of first stop surfaces are located on eitherside of and adjacent to a receiver opening in the swivelling disc thatis configured to receive the cable, wherein the pair of second stopsurfaces are located on the circular, inner wall, and wherein the pairof first stop surfaces and the pair of second stop surfaces areconfigured to limit rotation of the swivelling disc relative to theoutlet housing to less than 360° and greater than 180°.
 18. Therespiratory therapy system of claim 16, further comprising a humidifierconfigured to humidify the flow of air, wherein the tube portionincludes a heating element disposed along at least a portion of the tubeportion, the heating element being connected to the electricalconnector.
 19. The respiratory therapy system of claim 16, wherein theoutlet connector comprises an elbow bent at an angle between 0° and120°.
 20. The respiratory therapy system of claim 16, wherein theannular section is configured to receive the cable when the swivellingdisc is in the second position, wherein the portion of the cablecontained in the void comprises a slack portion when the swivelling discis in the first position, wherein a maximum length of the slack portionis less than a circumference of the circular, inner wall, and whereinwhen the swivelling disc is rotated from the first position to thesecond position, the slack portion of the cable extends from the voidand wraps around the annular section.